Organization
MIKE'S PHARMACY, INC
Active
Other names
MIKE'S ST JOSEPH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NATALI (CEO AND FOUNDER)
(570) 533-4130
Entity
Organization
Contact information
Practice address
2647 INTERNATIONAL BLVD, STE 106, OAKLAND, CA 94601-1537
(510) 533-4130
(510) 533-0980
Mailing address
2647 INTERNATIONAL BLVD, STE 106, OAKLAND, CA 94601-1537
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY228790
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578382
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA228790
—
CA
Enumeration date
10/03/2006
Last updated
02/28/2008
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