Organization
ROYAL PHARMACY
Active
Other names
Royal Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WONG (PRESIDENT/PIC)
(650) 794-0380
Entity
Organization
Contact information
Practice address
1111 EL CAMINO REAL, MILLBRAE, CA 94030-2014
(650) 794-0380
(650) 794-0300
Mailing address
1111 EL CAMINO REAL, MILLBRAE, CA 94030-2014
(650) 794-0380
(650) 794-0300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5639135
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2010
Last updated
08/05/2011
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