WAYNE PARK

SOUTH SAN FRANCISCO, CA
NPI1861137374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  83970)
Enumeration Date2022-04-29
Last Update Date2022-04-29
Business Address
WAYNE PARK
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080-3208
Phone number: 650-742-2000
Mailing Address
WAYNE PARK
4516 RAMSDELL AVE APT 135
LA CRESCENTA, CA 91214-2867
Phone number: