Organization
CENTRAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPECK (PIC)
(510) 234-4383
Entity
Organization
Contact information
Practice address
2300 MACDONALD AVE, RICHMOND, CA 94804-1821
(510) 234-4381
(510) 234-7803
Mailing address
2300 MACDONALD AVE, RICHMOND, CA 94804-1821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY33834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541652
OTHER ID NUMBER
—
Enumeration date
11/18/2005
Last updated
08/31/2007
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