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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