Organization
OAKLAND PHARMACY INC.
Active
Other names
New Oakland Pharmacy - Lake Merritt
Organization subpart
No
Provider details
NPI number
Authorized official
KAM TAM (VP)
(510) 813-8687
Entity
Organization
Contact information
Practice address
250 E 18TH ST, 3RD FLOOR, OAKLAND, CA 94606-1729
(510) 628-0878
(510) 628-0765
Mailing address
250 E 18TH ST, 3RD FLOOR, OAKLAND, CA 94606-1729
(510) 628-0878
(510) 628-0765
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50907
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5643588
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/19/2012
Last updated
04/19/2012
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