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NPI Code Detail

MEDICARE: OAKLAND CLINIC PHARMACY

MEDICARE: OAKLAND CLINIC PHARMACY
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
1183500000XPharmacistPHY364840CA

General Provider Information

NPI Number : 1376530329
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKLAND CLINIC PHARMACY
Provider Business Mailing Address
First Line : 5220 CLAREMONT AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94618-1033
Country : US
Telephone Number : 510-428-4088
Fax Number : 510-428-9029
Provider Business Practice Location Address
First Line : 5220 CLAREMONT AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94618-1033
Country : US
Telephone Number : 510-428-4088
Fax Number : 510-428-9029
Authorized Official
Title or Position : VP
Name : MISS KAM S TAM
Credential : PHARM.D.
Telephone Number : 510-428-4088
Provider Enumeration Date : 10/04/2005
Last Update Date : 04/29/2024

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Directions to “OAKLAND CLINIC PHARMACY ” Practice Location

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