Provider Demographics
NPI:1164154688
Name:SOUTH OF MARKET HEALTH CENTER PHARMACY
Entity Type:Organization
Organization Name:SOUTH OF MARKET HEALTH CENTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ASA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SATARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DHA, MBA
Authorized Official - Phone:415-503-6055
Mailing Address - Street 1:229 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4003
Mailing Address - Country:US
Mailing Address - Phone:415-503-6000
Mailing Address - Fax:415-503-6099
Practice Address - Street 1:255 7TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4003
Practice Address - Country:US
Practice Address - Phone:415-503-6000
Practice Address - Fax:415-503-6099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN FRANCISCO MEDICAL CENTER OUTPATIENT IMPROVEMENT PROGRAM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy