| NPI | 1497124689 |
|---|---|
| Doing Business As | CREEKSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY TRAN President 408-929-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53654) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2016-08-04 |