Red Square Pharmacy

LBN: Amg Pharmacy Inc
Red Square Pharmacy is an health care organization with primary practice located at 442 Clement St , San Francisco CA 94118-2318. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Amg Pharmacy Inc can be contacted via phone (415) 387-5537, or through Lyustin, Lyudmila via phone (415) 665-9810.

Contact Information

Primary practice address
442 Clement St San Francisco CA 94118-2318
Fax: (415) 387-5489
Website:
Authorized official contact:
Name: Lyustin, Lyudmila

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY47375 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47375 California

Profile Details

NPI number 1154342103
LBN Legal business name Amg Pharmacy Inc
DBA Doing business as Red Square Pharmacy
Authorized official Lyustin, Lyudmila
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154342103 NPPES
Other 0546020 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID PHA470820 OTHER ID NUMBER-COMMERCIAL NUMBER

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