NPI | 1619049491 |
---|---|
Doing Business As | DIABLO PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL THOMAS Chief Executive Officer 925-212-0216 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY42917) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY42917) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-01-04 |