Organization
NEW TIBURCIO VASQUEZ HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAM S TAM PHARM.D. (VP)
(510) 813-8687
Entity
Organization
Contact information
Practice address
33225 9TH ST, UNION CITY, CA 94587-2137
(510) 489-8088
(510) 489-1811
Mailing address
33225 9TH ST, UNION CITY, CA 94587-2137
(510) 489-8088
(510) 489-1811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY39506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA395060
—
CA
Enumeration date
10/24/2005
Last updated
04/29/2024
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