Marin Wellness Pharmacy
LBN: Marin Wellness Pharmacy, Inc.
Marin Wellness Pharmacy is an health care organization with primary practice located at 55 Mitchell Blvd Ste 11 , San Rafael CA 94903-2010. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Marin Wellness Pharmacy, Inc. can be contacted via phone (415) 521-1555, or through Hailemariam, Moussie via phone (707) 953-4528.
Contact Information
Primary practice address
55 Mitchell Blvd Ste 11
San Rafael CA 94903-2010
Phone: (415) 521-1555
Fax: (415) 299-8619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 53342 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1972984722 |
|---|---|
| LBN Legal business name | Marin Wellness Pharmacy, Inc. |
| DBA Doing business as | Marin Wellness Pharmacy |
| Authorized official | Hailemariam, Moussie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2015 |
| Last updated | Mar 7th, 2024 - about 6 months 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 | 1972984722 | NPPES |
| Other | 2152573 | PK |
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