| NPI | 1366816845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KONKOL Pharmacist 510-427-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM RP00008469) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |