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Organization
WEBSTER PHARMACY
Active
Organization
WEBSTER PHARMACY
Active
Parent organization
WEBSTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEBSTER PHARMACY
Authorized official
ED CLARK (PHARMACIST)
(510) 522-3066
Entity
Organization
Contact information
Practice address
1553 WEBSTER ST, ALAMEDA, CA 94501-3341
(510) 522-3066
(510) 522-3669
Mailing address
1553 WEBSTER ST, ALAMEDA, CA 94501-3341
(510) 522-3066
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY170130
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0527931
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA170130
—
CA
Enumeration date
09/30/2006
Last updated
07/09/2008
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