Organization
ALAMEDA HEALTH SYSTEM
Active
Other names
JOHN GEORGE PSYCHIATRIC PAVILLION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA YASAVOLIAN (DIR OF PHCY)
(510) 437-5055
Entity
Organization
Contact information
Practice address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1454
(510) 614-9516
Mailing address
2060 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 346-1454
(510) 614-9516
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HPE37659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043541
PK
—
05
—
PHB356020
—
CA
Enumeration date
12/29/2006
Last updated
09/13/2016
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