Individual ProviderAlthea HanPharmacistPharmacy Service ProvidersPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204(415) 514-6590PECOS EnrollmentBased on the most recent information from CMS, provider Althea Han does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720611411Provider TypeIndividualFull NameHan, AltheaCredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date2/20/2020Last Updated2/20/2020Contact InformationPractice LocationPractice Address505 Parnassus Ave, San Francisco, CA 94143-2204Phone(415) 514-6590FaxUnlisted FaxMailing LocationMailing Address513 Parnassus Ave Rm U585, San Francisco, CA 94143-2205PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense78671California