| NPI | 1932105897 |
|---|---|
| Doing Business As | MIDTOWN PHARMACY PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | WAYNE STEPHEN COLEMAN Pharmacist/C.E.O. 510-864-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY53944) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-01-04 |