Monteagle Medical Center Pharmacy
Organization Active NPI Community/Retail Pharmacy · San Francisco, CA
NPI 1598985673 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1598985673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 186360 (CA)
- Legal business name
- MONTEAGLE MEDICAL CENTER PHARMACY
- Practice address
- 1580 Valencia St.
San Francisco, CA 94110 - Phone
- (415) 641-6550
- Fax
- (415) 641-6713
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Grant Davies
- Title
- Sr. VP of Operation
- Phone
- (415) 600-3790
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Psychiatrist Clinic of
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 186360 | CA | Yes |
Addresses
Primary practice location
1580 Valencia St.
San Francisco, CA 94110
Mailing address
1580 Valencia St.
San Francisco, CA 94110
Phone (415) 641-6550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA186360 | Medicaid | CA |
Other providers in San Francisco, CA
- Sabrina Elaine Montano
- Tiffany Tia Montano
- David Anthony Montantes Jr.
- Richard A Montantes
- Lance E. Montauk
- Isabella Montealegre
- Fleurise Montecillo
- Hugo Michael Montejo
- Javier Alejandro Montelongo
- Emily Ann Montemagno
All providers in San Francisco, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.