Healthcare Provider Details

I. General information

NPI: 1164154688
Provider Name (Legal Business Name): SOUTH OF MARKET HEALTH CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 7TH ST
SAN FRANCISCO CA
94103-4003
US

IV. Provider business mailing address

229 7TH ST
SAN FRANCISCO CA
94103-4003
US

V. Phone/Fax

Practice location:
  • Phone: 415-503-6000
  • Fax: 415-503-6099
Mailing address:
  • Phone: 415-503-6000
  • Fax: 415-503-6099

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: DR. ASA M SATARIANO
Title or Position: CEO
Credential: DHA, MBA
Phone: 415-503-6055