Organization
MOWRY PLAZA PHARMACY
Active
Parent organization
HALLER'S PHARMACY & MEDICAL SUPPLY
Other names
Gurpartap Singh Basrai
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALLER'S PHARMACY & MEDICAL SUPPLY
Authorized official
DR. GURPARTAP SINGH BASRAI PHARM.D. (OWNER)
(510) 745-9900
Entity
Organization
Contact information
Practice address
668 MOWRY AVE, FREMONT, CA 94536-4113
(510) 745-9900
(510) 745-9950
Mailing address
668 MOWRY AVE, FREMONT, CA 94536-4113
(510) 745-9900
(510) 745-9950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
31057
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY45452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA454520
—
CA
Enumeration date
01/29/2007
Last updated
08/05/2008
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