Organization
OAK GROVE PHARMACY INC
Active
Other names
1750 MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY PADELFORD (PRESIDENT)
(650) 692-1686
Entity
Organization
Contact information
Practice address
1750 EL CAMINO REAL STE 101, BURLINGAME, CA 94010-3210
(650) 692-1686
(650) 692-0859
Mailing address
PO BOX 1038, BURLINGAME, CA 94011-1038
(650) 692-1686
(650) 692-0859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033127
PK
—
05
—
PHA19638
—
CA
Enumeration date
08/10/2006
Last updated
09/13/2016
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