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Organization

KAISER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL CANLAS (PHARMACY MANAGER)
(925) 813-7957
Entity
Organization

Contact information

Practice address
281 HAAS AVE, #201, SAN LEANDRO, CA 94577-3705
(510) 940-5138
Mailing address
281 HAAS AVE, #201, SAN LEANDRO, CA 94577-3705
(510) 940-5138

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH49565
CA

Other

Enumeration date
03/26/2013
Last updated
03/26/2013
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