Organization
JS CAPITAL GROUP
Active
Other names
Brookvale Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SPECK (PRESIDENT/PHARMACIST)
(510) 235-4443
Entity
Organization
Contact information
Practice address
2089 VALE RD STE 31, SAN PABLO, CA 94806-3850
(510) 235-4443
(510) 235-5527
Mailing address
2089 VALE RD STE 31, SAN PABLO, CA 94806-3850
(510) 235-4443
(510) 235-5527
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140703
PK
—
05
—
PHA58162
—
CA
Enumeration date
06/11/2013
Last updated
01/24/2022
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