MEDICARE: CBHS PHARMACY SERVICES

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	333600000X	Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PHE37141	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1990817	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902842701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBHS PHARMACY SERVICES

Provider Business Mailing Address
First Line	:	1380 HOWARD ST STE 130
Second Line	:	SUTIE 130
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2638
Country	:	US
Telephone Number	:	415-255-3659
Fax Number	:	415-255-3754

Provider Business Practice Location Address
First Line	:	1380 HOWARD ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2638
Country	:	US
Telephone Number	:	415-255-3659
Fax Number	:	415-255-3754

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	GLORIA WILDER
Credential	:	PHARMD
Telephone Number	:	415-255-3659

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	09/19/2025

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Directions to “CBHS PHARMACY SERVICES ” Practice Location

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