| NPI | 1699751644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAM S TAM VP 510-428-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36484) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-04-29 |