Organization
WALLGREENS
Active
Organization
WALLGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONJA SO-ROSILLO PHARMD (PHARMACIST)
(650) 637-9777
Entity
Organization
Contact information
Practice address
1414 EL CAMINO REAL, SAN CARLOS, CA 94070-0000
(650) 637-9777
(650) 637-1012
Mailing address
1414 EL CAMINO REAL, SAN CARLOS, CA 94070
(650) 637-9777
(650) 637-1012
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
RPH52616
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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