Organization
MOWRY PLAZA PHARMACY INC
Active
Other names
Mowry Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMARJEAN BASRAI (PRESIDENT)
(510) 745-9900
Entity
Organization
Contact information
Practice address
668 MOWRY AVE, FREMONT, CA 94536-4113
(510) 745-9900
(510) 745-9950
Mailing address
668 MOWRY AVE, FREMONT, CA 94536-4113
(510) 745-9900
(510) 745-9950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5645544
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/16/2012
Last updated
09/08/2021
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