Individual
BRIAN TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6411
Mailing address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66540
CA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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