Organization
VITACARE PHARMACY INC.
Active
Other names
YONATHAN SEYOUM
Organization subpart
No
Provider details
NPI number
Authorized official
YONATHAN SEYOUM RPH (MANAGER/OWNER)
(510) 832-7500
Entity
Organization
Contact information
Practice address
2447 TELEGRAPH AVE, OAKLAND, CA 94612-2404
(510) 832-7500
(510) 832-2009
Mailing address
2447 TELEGRAPH AVE, OAKLAND, CA 94612-2404
(510) 832-7500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
44770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10540
—
CA
01
—
51535
PHARMACY STATE LICENSE NUMBER
CA
Enumeration date
11/23/2017
Last updated
06/11/2019
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