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Individual

BRIAN SO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3701 BROADWAY, OAKLAND, CA 94611
(510) 752-2392
Mailing address
105 LUCY LN, SAN RAMON, CA 94582-5231

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
55638
CA

Other

Enumeration date
09/12/2017
Last updated
09/12/2017
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