Organization
JOHN MUIR AT ROSSMOOR PHCY
Active
Organization
JOHN MUIR AT ROSSMOOR PHCY
Active
Other names
JOHN MUIR AT ROSSMOOR PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DON (PHCY COORDINATOR)
(925) 988-7510
Entity
Organization
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 988-7510
(925) 988-7512
Mailing address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 988-7510
(925) 988-7512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550788
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
10/17/2011
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