NPI | 1851484281 |
---|---|
Entity Type | Organization |
Authorized Contact | ED CLARK Pharmacist 510-522-3066 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY170130) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2008-07-09 |