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NPI Code Detail

MEDICARE: FARMACIA REMEDIOS INC

MEDICARE: FARMACIA REMEDIOS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY46651CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25613030OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1154436103
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARMACIA REMEDIOS INC
Provider Business Mailing Address
First Line : PO BOX 9830
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-9830
Country : US
Telephone Number : 877-540-4748
Fax Number : 801-716-4872
Provider Business Practice Location Address
First Line : 3351 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3005
Country : US
Telephone Number : 510-261-8334
Fax Number : 510-261-5400
Authorized Official
Title or Position : COO
Name : BEN SINGER
Credential :
Telephone Number : 415-377-5525
Provider Enumeration Date : 08/20/2006
Last Update Date : 10/14/2010

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Directions to “FARMACIA REMEDIOS INC ” Practice Location

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