| NPI | 1497859441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGEDA MAHMOUD-THIRUCOTE Pharmacist In Charge 650-326-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY48368) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY46536) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-03-24 |