Healthcare Provider Details

I. General information

NPI: 1598859738
Provider Name (Legal Business Name): LYNN ELIZABETH FRIDAY RPH, BCOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 GEARY BLVD 8E ONCOLOGY PHARMACY
SAN FRANCISCO CA
94115-3416
US

IV. Provider business mailing address

56 WINDCREST LN
SOUTH SAN FRANCISCO CA
94080-7314
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-2865
  • Fax: 415-833-8860
Mailing address:
  • Phone: 650-588-5361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number36283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: