Organization
CLOVER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MAN PHARMD (OWNER)
(206) 353-2333
Entity
Organization
Contact information
Practice address
6170 THORNTON AVE STE E, NEWARK, CA 94560-3700
(206) 427-3587
Mailing address
6170 THORNTON AVE STE E, NEWARK, CA 94560-3700
(206) 427-3587
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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