Clay Medical Pharmacy
LBN: Clay Medical Pharmacy & Medical Supply, Inc.
Clay Medical Pharmacy is an health care organization with primary practice located at 929 Clay St Ste 103 , San Francisco CA 94108-1568. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is the primary health care specialty.
Clay Medical Pharmacy & Medical Supply, Inc. can be contacted via phone (415) 956-5456, or through Ng, Patrick K. C. via phone (415) 956-5456.
Contact Information
Primary practice address
929 Clay St Ste 103
San Francisco CA 94108-1568
Phone: (415) 956-5456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHY 30828 | California |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1134260417 |
|---|---|
| LBN Legal business name | Clay Medical Pharmacy & Medical Supply, Inc. |
| DBA Doing business as | Clay Medical Pharmacy |
| Authorized official | Ng, Patrick K. C. RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Oct 12th, 2009 - about 15 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 | 1134260417 | NPPES |
| California | MEDICAID | PHA218900 |
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