Mills Square Pharmacy
LBN: Medicross Pharmaceutical Svcs Inc
Mills Square Pharmacy is an health care organization with primary practice located at 11 S San Mateo Dr , San Mateo CA 94401-3803. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medicross Pharmaceutical Svcs Inc can be contacted via phone (650) 347-5251, or through Tsolakis, Frank via phone (650) 347-5251.
Contact Information
Primary practice address
11 S San Mateo Dr
San Mateo CA 94401-3803
Phone: (650) 347-5251
Fax: (650) 348-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46847 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1174637144 |
|---|---|
| LBN Legal business name | Medicross Pharmaceutical Svcs Inc |
| DBA Doing business as | Mills Square Pharmacy |
| Authorized official | Tsolakis, Frank PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174637144 | NPPES |
| California | MEDICAID | PHA468470 | |
| California | Other | 0524339 |
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