Healthcare Provider Details

I. General information

NPI: 1497616056
Provider Name (Legal Business Name): WESTERN DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2844 SUMMIT ST STE 100
OAKLAND CA
94609-3637
US

IV. Provider business mailing address

2844 SUMMIT ST STE 100
OAKLAND CA
94609-3637
US

V. Phone/Fax

Practice location:
  • Phone: 510-893-8841
  • Fax:
Mailing address:
  • Phone: 510-893-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID MAKHANI
Title or Position: SEC./DIR.
Credential:
Phone: 818-788-5858