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PALO ALTO MEDICAL FOUNDATION NPI 1942355292


NPI Profile

NPI: 1942355292
Provider Name: PALO ALTO MEDICAL FOUNDATION
Classification:Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 05D0692679

Address:
795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301
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Phone: (650) 853-6066

PALO ALTO MEDICAL FOUNDATION 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. PALO ALTO MEDICAL FOUNDATION NPI is 1942355292. The provider is registered as an organization entity type.

The provider's business location address is:

795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301-302
Phone: (650) 853-6066
Fax: (650) 330-0183

The provider's authorized official is Francis Marzoni .
The authorized official title is President and has the following contact phone number (650) 321-4121.

The CLIA number assigned to this NPI record is 05D0692679 - ancillary test site with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/25/2007 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
13336C0002XPharmacyClinic Pharmacy44373CALIFORNIAYes

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
1BP6588442OTHERDEA LICENSE
20509476OTHERNABP

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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