Organization
HEALTHCARE ENTERPRISE LLC
Active
Other names
The Medicine Chest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GOLUNOVA (DIRECTOR)
(415) 867-4177
Entity
Organization
Contact information
Practice address
925 B ST, HAYWARD, CA 94541-5109
(510) 538-9711
(510) 538-3204
Mailing address
925 B ST, HAYWARD, CA 94541-5109
(510) 538-9711
(510) 538-3204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY50187
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533782
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/29/2006
Last updated
03/10/2010
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