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Organization
ALAMEDA HEALTH SYSTEM
Active
Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
JOHN GEORGE PSYCHIATRIC PAVILLION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA YASAVOLIAN (DIR OF PHCY)
(510) 437-5055
Entity
Organization
Contact information
Practice address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1454
(510) 614-9516
Mailing address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1454
(510) 614-9516
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HPE37659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043541
PK
—
05
—
PHB356020
—
CA
Enumeration date
12/29/2006
Last updated
09/13/2016
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