Healthcare Provider Details
I. General information
NPI: 1710784715
Provider Name (Legal Business Name): ACCESS OAKTOWN INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US
IV. Provider business mailing address
2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US
V. Phone/Fax
- Phone: 510-330-4906
- Fax: 510-330-4902
- Phone: 510-330-4906
- Fax: 510-330-4902
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DANIEL
FARNAM
TORBATI
Title or Position: PRESIDENT
Credential: RPH
Phone: 510-330-4906