2500 Milvia Prescription Pharmacy
NPI #1700895034 in Berkeley, California
Provider Information
- NPI Number
- 1700895034
- Entity Type
- Organization
- Organization Name
- 2500 Milvia Prescription Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 5, 2006
- Last Updated
- Aug 31, 2007
Practice Location
- Address
- 2500 MILVIA ST
- Address 2
- STE 130
- City
- Berkeley
- State
- California
- ZIP Code
- 94704-2636
- Phone
- (510) 548-0773
Authorized Official
- Name
- BRIAN QUON, CPHT
- Title
- MANAGER
- Phone
- (510) 548-0773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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