Organization
O'BRIENS MARKET, INC
Active
Organization
O'BRIENS MARKET, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES O'BRIEN (OWNER)
(209) 869-9055
Entity
Organization
Contact information
Practice address
6331 OAKDALE RD, RIVERBANK, CA 95367-9646
(209) 869-9055
(209) 869-9057
Mailing address
6331 OAKDALE RD, RIVERBANK, CA 95367-9646
(209) 869-9055
(209) 869-9057
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA406280
—
CA
Enumeration date
07/12/2006
Last updated
08/22/2020
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