NPI | 1144964784 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ABRAHAM GEBRU Pharmacist In Charge 510-984-1429 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-05-16 |