Organization
CCWF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD DE ZORDO (PHARM D)
(559) 665-5531
Entity
Organization
Contact information
Practice address
3688 BOYER CIR, LAFAYETTE, CA 94549-4904
(510) 910-7244
Mailing address
3688 BOYER CIR, LAFAYETTE, CA 94549-4904
(510) 910-7244
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
RPH23059
CA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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