Healthcare Provider Details

I. General information

NPI: 1487990396
Provider Name (Legal Business Name): GREGG S ASPACHER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2012
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 MARKET STREET
SAN FRANCISCO CA
94114
US

IV. Provider business mailing address

149 PROSPECT AVE
SAUSALITO CA
94965-2332
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-0101
  • Fax: 415-255-0201
Mailing address:
  • Phone: 415-613-8175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: