Organization
SPECK PHARMACY INC
Active
Other names
CIVIC CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SPECK RPH PIC (PHARMACIST)
(510) 234-5023
Entity
Organization
Contact information
Practice address
2729 MACDONALD AVE, RICHMOND, CA 94804-3006
(510) 234-5023
Mailing address
2729 MACDONALD AVE, RICHMOND, CA 94804-3006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0522157
OTHER ID NUMBER
—
05
—
PHA410990
—
CA
Enumeration date
10/25/2005
Last updated
08/31/2007
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