| 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 |