| NPI | 1396740494 |
|---|---|
| Doing Business As | MIKE'S MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HOLLY JOHNSON FRIAR President 510-532-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY49087) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY49087) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-10-06 |