Organization
DRATE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH OKWUEGBE (PHARMACIST IN CHARGE)
(510) 589-5989
Entity
Organization
Contact information
Practice address
3219 ADELINE ST, BERKELEY, CA 94703-2467
(510) 589-5989
(510) 969-4705
Mailing address
3219 ADELINE ST, BERKELEY, CA 94703-2467
(510) 589-5989
(510) 969-4705
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53329
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
10/19/2011
Last updated
04/15/2015
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