NPI | 1821326919 |
---|---|
Doing Business As | MIKE'S PHARMACY |
Entity Type | Organization |
Authorized Contact | VICTORIA GOLUNOVA Owner / VP 510-532-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY50028) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2010-01-19 |