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NPI Code Detail

MEDICARE: ELEPHANT PHARMACY OPERATING CORP

MEDICARE: ELEPHANT PHARMACY OPERATING CORP
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
1183500000XPharmacistRPH50642CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740276286
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEPHANT PHARMACY OPERATING CORP
Provider Business Mailing Address
First Line : 1607 SHATTUCK AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1611
Country : US
Telephone Number : 510-549-9201
Fax Number : 510-549-9204
Provider Business Practice Location Address
First Line : 1607 SHATTUCK AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1611
Country : US
Telephone Number : 510-549-9201
Fax Number : 510-549-9204
Authorized Official
Title or Position : VP OF PHARMACY
Name : TERRY CATER
Credential : R.PH.
Telephone Number : 510-549-9201
Provider Enumeration Date : 09/20/2005
Last Update Date : 08/22/2020

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Directions to “ELEPHANT PHARMACY OPERATING CORP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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