Healthcare Provider Details

I. General information

NPI: 1235187956
Provider Name (Legal Business Name): SPECIALTY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4071 18TH ST
SAN FRANCISCO CA
94114-2535
US

IV. Provider business mailing address

4071 18TH ST
SAN FRANCISCO CA
94114-2535
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-2720
  • Fax: 415-255-0937
Mailing address:
  • Phone: 415-255-2720
  • Fax: 415-255-0937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY50165
License Number StateCA

VIII. Authorized Official

Name: DONNA TEMPESTA
Title or Position: VP OF FINANCE
Credential: R.PH.
Phone: 631-547-6520