| NPI | 1902554991 |
|---|---|
| Doing Business As | BROOKVALE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ROBERT PADIA COO 510-235-4443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-07-15 |