Organization
OAKLAND PHARMACY INC
Active
Other names
New Oakland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TAM PHARMD (COO)
(510) 628-2126
Entity
Organization
Contact information
Practice address
388 9TH ST, STE 108, OAKLAND, CA 94607-4287
(510) 763-3282
(510) 763-8077
Mailing address
388 9TH ST, STE 108, OAKLAND, CA 94607-4287
(510) 763-3282
(510) 763-8077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437308715
—
CA
01
—
2117114
PK
—
05
—
PHA491580
—
CA
Enumeration date
09/11/2008
Last updated
04/29/2024
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