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Organization
MASONIC HOMES OF CALIFORNIA
Active
Organization
MASONIC HOMES OF CALIFORNIA
Active
Other names
Masonic Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YVONNE M. WONG RPH (DIRECTOR OF PHARMACY)
(510) 429-6426
Entity
Organization
Contact information
Practice address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 429-6426
(510) 475-5697
Mailing address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 429-6426
(510) 475-5697
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY 41902
CA
Other
Enumeration date
04/19/2006
Last updated
03/12/2015
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