| NPI | 1417360611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWILL NABIL ANWAR TADRES Pharmacy Manager 510-688-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 67007) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |