| NPI | 1780813485 |
|---|---|
| Doing Business As | EAST BAY AIDS CENTER OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SO Pharmacist 510-869-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49947) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-01-20 |