Organization
PACIFIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOI PHAM (OWNER)
(510) 451-3234
Entity
Organization
Contact information
Practice address
600 INTERNATIONAL BLVD. #105, OAKLAND, CA 94606-2986
(510) 451-3234
(510) 451-3230
Mailing address
600 INTERNATIONAL BLVD. #105, OAKLAND, CA 94606-2986
(510) 451-3234
(510) 451-3230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45477
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356950869
—
CA
05
—
PHA404730
—
CA
Enumeration date
12/21/2006
Last updated
08/20/2025
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