Mission Pharmacy

LBN: Mission Pharmacy
Mission Pharmacy is an health care organization with primary practice located at 22138 Mission Blvd , Hayward CA 94541-2645. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mission Pharmacy can be contacted via phone (510) 581-8540, or through Tam, Kam S via phone (510) 813-8687.

Contact Information

Primary practice address
22138 Mission Blvd Hayward CA 94541-2645
Phone: (510) 581-8540
Fax: (510) 581-5873
Website:
Map and Directions
Authorized official contact:
Name: Tam, Kam S PHARM.D.
Phone: (510) 813-8687

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47164 California

Profile Details

NPI number 1457341299
LBN Legal business name Mission Pharmacy
DBA Doing business as
Authorized official Tam, Kam S PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 29th, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457341299 NPPES
California MEDICAID PHA471640

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