Organization
JEHAS PHARMACY INC
Active
Other names
PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DOBBS (MANAGER)
(510) 223-1321
Entity
Organization
Contact information
Practice address
3716 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-2820
(510) 223-1321
(510) 758-6483
Mailing address
3716 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-2820
(510) 223-1321
(510) 758-6483
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999309
PK
—
Enumeration date
10/10/2006
Last updated
09/10/2015
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