| NPI | 1639217623 |
|---|---|
| Doing Business As | MONTCLAIR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SULLIVAN Pharmacist In Charge 510-339-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY38259) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2011-11-18 |