Marin Medical Pharmacy
LBN: Benson Toy
Marin Medical Pharmacy is an health care organization with primary practice located at 750 Las Gallinas Ave Ste 104, San Rafael CA 94903-3438. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Benson Toy can be contacted via phone (415) 479-1930, or through Toy, Benson via phone (415) 479-1930.
Contact Information
Primary practice address
750 Las Gallinas Ave Ste 104
San Rafael CA 94903-3438
Phone: (415) 479-1930
Fax: (415) 479-0128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY37119 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1063575694 |
|---|---|
| LBN Legal business name | Benson Toy |
| DBA Doing business as | Marin Medical Pharmacy |
| Authorized official | Toy, Benson PHARMD AND CCN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063575694 | NPPES |
| Other | 0522575 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA371190 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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