| NPI | 1932265204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE JENSEN VP Of Revenue Cycle 510-618-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CA HPE40904) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-05-27 |