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General NPI Number Information
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NPI Number | 1881094530
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Entity Type | Organization
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Legal Business Name | PATIENT CENTRIC PHARMACY SERVICES
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Dates
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Enumeration Date | 08/31/2014
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 9 37TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4404
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Country | US
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Telephone | 650-827-5277
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Fax | 650-817-7227
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Provider Business Mailing Address
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Address Line | 9 37TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4404
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Country | US
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Telephone | 650-827-5277
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Fax | 650-817-7227
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Authorized Official
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Title or Position | MEMBER/PRESIDENT
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Name | DR. ALVIN LEE
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Credential | PHARM D
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Telephone | 650-827-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 51988
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 51988
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 51988
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License Number State | CA
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