| NPI | 1467737643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH OKWUEGBE Pharmacist In Charge 510-589-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 53329) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2015-04-15 |