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MEDICROSS PHARMACEUTICAL SVCS INC NPI 1174637144


NPI Information

NPI: 1174637144
Provider Name: MEDICROSS PHARMACEUTICAL SVCS INC

Doing Business As: MILLS SQUARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
11 S SAN MATEO DR
SAN MATEO, CA
ZIP 94401
Phone: (650) 347-5251
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MEDICROSS PHARMACEUTICAL SVCS INC is a long term care pharmacy pharmacy in San Mateo, 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. MEDICROSS PHARMACEUTICAL SVCS INC NPI is 1174637144. The provider is registered as an organization entity type.
The provider Is Doing Business As Mills Square Pharmacy.

The provider's business location address is:

11 S SAN MATEO DR
SAN MATEO, CA
ZIP 94401-803
Phone: (650) 347-5251
Fax: (650) 348-0509

The provider's authorized official is Frank Tsolakis .
The authorized official title is Owner And Pharmacist In Charge and has the following contact phone number (650) 347-5251.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/22/2020.


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
13336L0003XPharmacyLong Term Care PharmacyYes
23336C0003XPharmacyCommunity/Retail PharmacyPHY46847CALIFORNIAX
33336M0002XPharmacyMail Order PharmacyX

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
10524339OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA468470MEDICAIDCALIFORNIA

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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