Alta Bates Summit Outpatient Pharmacy

LBN: Sutter Bay Hospitals
Alta Bates Summit Outpatient Pharmacy is an health care organization with primary practice located at 2001 Dwight Way Ste 2182 , Berkeley CA 94704-2608. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sutter Bay Hospitals can be contacted via phone (510) 204-6550, or through Federico, Michael via phone (510) 869-8452.

Contact Information

Primary practice address
2001 Dwight Way Ste 2182 Berkeley CA 94704-2608
Phone: (510) 204-6550
Fax: (510) 204-5895
Website:
Map and Directions
Authorized official contact:
Name: Federico, Michael PHARMD
Phone: (510) 869-8452

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY52043 California
Suppliers / Specialty Pharmacy 3336S0011X PHY52043 California

Profile Details

NPI number 1326554239
LBN Legal business name Sutter Bay Hospitals
DBA Doing business as Alta Bates Summit Outpatient Pharmacy
Authorized official Federico, Michael PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2017
Last updated Dec 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326554239 NPPES
California Other PHY56025 CA BOARD OF PHARMACY
California Other PHY52043 CA BOARD OF PHARMACY

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