Organization
ROCKFORTH PHARMACY
Active
Other names
ROCKFORTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH OKWUEGBE (OWNER)
(510) 589-5989
Entity
Organization
Contact information
Practice address
14624 E 14TH ST, SAN LEANDRO, CA 94578-2817
(510) 878-7681
(510) 969-4705
Mailing address
PO BOX 20663, CASTRO VALLEY, CA 94546-8663
(510) 878-7681
(510) 969-4705
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159602
PK
—
Enumeration date
04/09/2016
Last updated
04/19/2016
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