Organization
MASONIC HOMES OF CALIFORNIA
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M. FALLON (EXECUTIVE DIRECTOR)
(510) 429-6402
Entity
Organization
Contact information
Practice address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 471-3434
(510) 476-6329
Mailing address
1111 CALIFORNIA ST, SAN FRANCISCO, CA 94108-2252
(415) 776-7000
(415) 776-7170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 41902
CA
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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