Organization
ALAMEDA PHARMACY LLC
Active
Other names
Alameda Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ARDIE JOHNSON (OWNER/MANAGER)
(510) 362-7254
Entity
Organization
Contact information
Practice address
1555 DOOLITTLE DR STE 160, SAN LEANDRO, CA 94577-2272
(510) 362-7255
(510) 362-7256
Mailing address
1555 DOOLITTLE DR STE 160, SAN LEANDRO, CA 94577-2272
(510) 362-7255
(510) 362-7256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
52058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151752
PK
—
Enumeration date
05/05/2015
Last updated
03/06/2017
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