Organization
OAK GROVE PHARMACY INC
Active
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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