Provider Demographics
NPI:1780399758
Name:ADVANCECARE SAN FRANCISCO INC
Entity type:Organization
Organization Name:ADVANCECARE SAN FRANCISCO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUKRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-231-0751
Mailing Address - Street 1:2301 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1690
Mailing Address - Country:US
Mailing Address - Phone:415-963-4520
Mailing Address - Fax:
Practice Address - Street 1:2301 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1690
Practice Address - Country:US
Practice Address - Phone:415-963-4520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy