Provider Demographics
NPI:1659141711
Name:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIRECTOR, GOVERNMENT REIM
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-353-4739
Mailing Address - Street 1:500 PARNASSUS AVE, J LEVEL
Mailing Address - Street 2:MU 145 BOX 0108
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0108
Mailing Address - Country:US
Mailing Address - Phone:415-370-5283
Mailing Address - Fax:
Practice Address - Street 1:500 PARNASSUS AVE, J-LEVEL MU-145
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2203
Practice Address - Country:US
Practice Address - Phone:415-370-5283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-08
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy