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Contact Information

BROOKVALE MEDICAL CENTER PHARMACY
2101 VALE RD
STE 100
SAN PABLO, CA94806
 Phone: 510-235-4443
 Fax: 510-235-5527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for BROOKVALE MEDICAL CENTER PHARMACY · (Female)

NPI Number 1124033519
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PHY22575
  • CA Medicaid PHA225750
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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