Healthcare Provider Details

I. General information

NPI: 1902842701
Provider Name (Legal Business Name): CBHS PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HOWARD ST
SAN FRANCISCO CA
94103-2638
US

IV. Provider business mailing address

1380 HOWARD ST STE 130 SUTIE 130
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-3659
  • Fax: 415-255-3754
Mailing address:
  • Phone: 415-255-3659
  • Fax: 415-255-3754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHE37141
License Number StateCA

VIII. Authorized Official

Name: GLORIA WILDER
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 415-255-3659