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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
13336C0003XCommunity/Retail PharmacyPHY36484CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699751644
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 :
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 :
Authorized Official
Title or Position : VP
Name : MR. KAM S TAM
Credential :
Telephone Number : 510-428-4088
Provider Enumeration Date : 12/21/2005
Last Update Date : 04/29/2024

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Directions to “OAKLAND CLINIC PHARMACY ” Practice Location

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