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LUCILE PACKARD CHILDREN'S HOSPITAL OUTPATIENT PHARMACY NPI 1346699709


NPI Profile

NPI: 1346699709
Provider Name: LUCILE PACKARD CHILDREN'S HOSPITAL OUTPATIENT PHARMACY
Classification:Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 05D0062689

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Get Directions

Phone: (650) 497-8289

LUCILE PACKARD CHILDREN'S HOSPITAL OUTPATIENT PHARMACY is a clinic pharmacy pharmacy in Palo Alto, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. LUCILE PACKARD CHILDREN'S HOSPITAL OUTPATIENT PHARMACY NPI is 1346699709. The provider is registered as an organization entity type.

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8289
Fax: (650) 497-8974

The provider's authorized official is Minh-thoa Thi Tran .
The authorized official title is Outpatient Pharmacy Manager and has the following contact phone number (650) 724-5121.

The CLIA number assigned to this NPI record is 05D0062689 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.


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
13336C0002XPharmacyClinic PharmacyPHY52051CALIFORNIAYes

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
1PHY52051OTHERCALIFORNIAPHARMACY LICENSE

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: 9/12/2021

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