| NPI | 1497940134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATONIA WILLIAMS Executive Director 510-644-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA 01/90) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |