Organization
LG PHARMACIES, LLC
Active
Other names
San Miguel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. URIEL CHAVEZ (OWNER/LLC MANAGER)
(510) 842-8790
Entity
Organization
Contact information
Practice address
1620 HIGH ST, SUITE 2B, OAKLAND, CA 94601-4536
(650) 842-8790
(510) 842-8789
Mailing address
1620 HIGH ST, SUITE 2B, OAKLAND, CA 94601-4536
(650) 842-8790
(510) 842-8789
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50030
CA
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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