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Organization
VITACARE PHARMACY INC.
Active
Organization
VITACARE PHARMACY INC.
Active
Other names
VITACARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YONATHAN SEYOUM RPH (OWNER, AO, PHCY MANAGER, PIC)
(510) 832-7500
Entity
Organization
Contact information
Practice address
2447 TELEGRAPH AVE, OAKLAND, CA 94612-2404
(510) 832-7500
(510) 832-2009
Mailing address
2447 TELEGRAPH AVE, OAKLAND, CA 94612-2404
(510) 832-7500
(510) 832-2009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51535
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010540
—
CA
01
—
2141663
PK
—
Enumeration date
08/13/2013
Last updated
09/19/2025
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