Organization
THE APOTHECARY EASTMONT TOWN CENTER
Active
Other names
The Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PONDER PHARM.D. (PHARMACY MANAGER)
(510) 638-7323
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE, SUITE #268, OAKLAND, CA 94605-2468
(510) 638-7323
(510) 430-2860
Mailing address
7200 BANCROFT AVE, SUITE #268, OAKLAND, CA 94605-2468
(510) 638-7323
(510) 430-2860
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613193
NCPDP
CA
05
—
PHA466250
—
CA
01
—
PHY46625
PHARMACY STATE LICENSE
CA
Enumeration date
03/12/2007
Last updated
03/07/2023
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