Organization
GEORGE JABER MICHAEL JABER & PHILLIP JABER PTR
Active
Other names
VERSAILLES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP JABER (OWNER AND PHARMACIST)
(510) 523-4907
Entity
Organization
Contact information
Practice address
2801 ENCINAL AVE, ALAMEDA, CA 94501-4726
(510) 523-4907
(510) 523-4580
Mailing address
2801 ENCINAL AVE, ALAMEDA, CA 94501-4726
(510) 523-4907
(510) 523-4580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002896
PK
—
05
—
PHA227100
—
CA
Enumeration date
01/30/2007
Last updated
02/22/2016
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