Organization
GERALD C DAVALOS
Active
Other names
Ace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD CHARLES DAVALOS PHARMD (OWNER PHARMACIST)
(415) 731-3535
Entity
Organization
Contact information
Practice address
2505 NORIEGA STREET, SAN FRANCISCO, CA 94122-4126
(415) 731-3535
(415) 731-8650
Mailing address
2505 NORIEGA STREET, SAN FRANCISCO, CA 94122-4126
(415) 731-3535
(415) 731-8650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY22384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA223840
—
CA
Enumeration date
11/28/2005
Last updated
05/17/2013
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