| NPI | 1447240007 |
|---|---|
| Doing Business As | CIVIC CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD SPECK Pharmacist 510-234-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY41099) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-08-31 |