Organization
MISSION PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAM S TAM PHARM.D. (V.P.)
(510) 813-8687
Entity
Organization
Contact information
Practice address
22138 MISSION BLVD, HAYWARD, CA 94541-2645
(510) 581-8540
(510) 581-5873
Mailing address
22138 MISSION BLVD, HAYWARD, CA 94541-2645
(510) 581-8540
(510) 581-5873
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA471640
—
CA
Enumeration date
10/24/2005
Last updated
04/29/2024
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