MEDICARE: SMITA J SANE RPH

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
1	183500000X	Pharmacist	PH24291	MA
2	183500000X	Pharmacist	RPH52830	CA

General Provider Information

NPI Number	:	1821685421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMITA J SANE RPH

Provider Business Mailing Address
First Line	:	925 COLE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-4315
Country	:	US
Telephone Number	:	415-661-3003
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 COLE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-4315
Country	:	US
Telephone Number	:	415-661-3003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	12/29/2020

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Directions to “ SMITA J SANE RPH” Practice Location

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