| NPI | 1114917952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAM S TAM VP 510-813-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY43359) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-04-29 |