| NPI | 1699281501 |
|---|---|
| Doing Business As | EAST BAY AIDS CENTER OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFF GERARD Regional President 510-450-7347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY49947) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY49947) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2022-01-20 |