# MASONIC HOMES OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Masonic Home Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639134950
- **Authorized official:** MR. YVONNE M. WONG RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (510) 429-6426

## Contact information

- **Practice address:** 34400 MISSION BLVD, UNION CITY, CA 94587-3604
- **Practice address phone:** (510) 429-6426
- **Practice address fax:** (510) 475-5697
- **Mailing address:** 34400 MISSION BLVD, UNION CITY, CA 94587-3604
- **Mailing address phone:** (510) 429-6426
- **Mailing address fax:** (510) 475-5697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY 41902 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/12/2015