Organization
INTEGRATED MEDICAL ASSOCIATED PHARMACY INC
Active
Other names
Integrated Medical Associates Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OGBUEHI (RPH)
(510) 382-1671
Entity
Organization
Contact information
Practice address
10500 MACARTHUR BLVD # 103, OAKLAND, CA 94605-5248
(510) 382-1671
(510) 382-1688
Mailing address
10500 MACARTHUR BLVD # 103, OAKLAND, CA 94605-5248
(510) 382-1671
(510) 382-1688
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158249
PK
—
Enumeration date
02/04/2016
Last updated
03/25/2016
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