| NPI | 1598930067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P MCCABE Chief Pharmacy Officer 510-835-9610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA PHY16560) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2023-02-13 |