Organization
SPECK PHARMACY INC
Active
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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