Most Relevant Information
Provider Data
  | NPI Number: | 1003300039 | 
| Provider Name: | LARA BERGER | 
| Entity Type: | Individual | 
| Taxonomy Code: | 183500000X | 
| Specialty: | Pharmacist | 
| License Number: | 71929 | 
Most Important Dates
  | Enumeration Date: | 06/22/2018 | 
| Last Updated: | 06/22/2018 | 
Provider Practice Location
  500 PINE STREET
      
      SAN FRANCISCO
      CA
      94108
  Practice Location Phone/Fax
      | Phone: | 4153626318 | 
| Fax: | 4153626563 | 
Provider Mailing Location
  500 PINE STREET
      
      SAN FRANCISCO
      CA
      94108
  Provider Mailing Phone/Fax
      | Phone: | 4153626318 | 
| Fax: | 4153626563 |