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1164069340
JOHNNY K THAI
OAKLAND, CA
NPI
1164069340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: CA 79259)
Enumeration Date
2019-12-05
Last Update Date
2021-12-17
Business Address
JOHNNY K THAI
3600 BROADWAY
OAKLAND, CA 94611-5730
Phone number: 510-752-1000
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Mailing Address
JOHNNY K THAI
3600 BROADWAY
OAKLAND, CA 94611-5730
Phone number: 415-203-5142
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