Organization
DYNAMEDIC DRUGS INC
Active
Other names
Leo's Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY T BUI (PRESIDENT)
(510) 839-7900
Entity
Organization
Contact information
Practice address
411 30TH ST, OAKLAND, CA 94609-3303
(510) 834-3100
(510) 834-2988
Mailing address
411 30TH ST, OAKLAND, CA 94609-3303
(510) 834-3100
(510) 834-2988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY47437
CA
3336C0003X
Community/Retail Pharmacy
PHY47437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA474370
—
CA
Enumeration date
11/03/2005
Last updated
09/11/2025
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