Healthcare Provider Details

I. General information

NPI: 1467005710
Provider Name (Legal Business Name): TIN RX CASTRO SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2175 MARKET ST. UNIT 122
SAN FRANCISCO CA
94114
US

IV. Provider business mailing address

2175 MARKET ST. UNIT 122
SAN FRANCISCO CA
94114
US

V. Phone/Fax

Practice location:
  • Phone: 530-824-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA GARCIA
Title or Position: CEO
Credential:
Phone: 530-824-0800