| NPI | 1790849701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOI PHAM Owner 510-451-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 45477) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-08-20 |