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LAGUNA HONDA HOSPITAL PHARMACY NPI 1255374054


NPI Information

NPI: 1255374054
Provider Name: LAGUNA HONDA HOSPITAL PHARMACY

Doing Business As: LAGUNA HONDA HOSPITAL PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 05D0702862

Address:
375 LAGUNA HONDA BLVD
SAN FRANCISCO, CA
ZIP 94116
Phone: (415) 759-2300
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LAGUNA HONDA HOSPITAL PHARMACY is a long term care pharmacy pharmacy in San Francisco, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LAGUNA HONDA HOSPITAL PHARMACY NPI is 1255374054. The provider is registered as an organization entity type.
The provider Is Doing Business As Laguna Honda Hospital Pharmacy.

The provider's business location address is:

375 LAGUNA HONDA BLVD
SAN FRANCISCO, CA
ZIP 94116-411
Phone: (415) 759-2300
Fax: (415) 759-6017

The provider's authorized official is Michelle Fouts .
The authorized official title is Pharmacy Director and has the following contact phone number (415) 682-5782.

The CLIA number assigned to this NPI record is 05D0702862 - skilled nursing facility/nursing facility with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 3/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336I0012XPharmacyInstitutional PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyNo
43336L0003XPharmacyLong Term Care PharmacyHPE4323CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA43230MEDICAIDCALIFORNIA
21997347OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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