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NPI Code Detail

MEDICARE: SPECK PHARMACY INC

MEDICARE: SPECK PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY41099CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10522157OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447240007
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECK PHARMACY INC
Provider Business Mailing Address
First Line : 2729 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2729 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-234-5023
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : EDWARD SPECK
Credential : RPH PIC
Telephone Number : 510-234-5023
Provider Enumeration Date : 10/25/2005
Last Update Date : 08/31/2007

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Directions to “SPECK PHARMACY INC ” Practice Location

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