NPI | 1326554239 |
---|---|
Doing Business As | ALTA BATES SUMMIT OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL FEDERICO Director Of Pharmacy 510-869-8452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY52043) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy Specialty Pharmacy (Licence: CA PHY52043) | |
Enumeration Date | 2017-12-15 |
Last Update Date | 2022-12-21 |