Organization
ORIENTAL TWIN DRAGONS LTD
Active
Organization
ORIENTAL TWIN DRAGONS LTD
Active
Other names
ESTUDILLO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BILL HAM (SEC TRES)
(510) 483-5744
Entity
Organization
Contact information
Practice address
215 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4721
(510) 483-5744
(510) 483-5785
Mailing address
215 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY30804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0580969
OTHER ID NUMBER
—
Enumeration date
01/30/2007
Last updated
12/05/2007
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