Organization
NEW OAKLAND PHARMACY - SUMMIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAM S TAM PHARM.D. (VP)
(510) 813-8687
Entity
Organization
Contact information
Practice address
401 29TH ST, OAKLAND, CA 94609-3519
(510) 839-0128
(510) 839-1990
Mailing address
401 29TH ST, OAKLAND, CA 94609-3519
(510) 839-0128
(510) 839-1990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA452700
—
CA
Enumeration date
10/24/2005
Last updated
08/22/2020
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