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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

NPI # 1124033519
LBN Legal business name BROOKVALE MEDICAL CENTER PHARMACY
Authorized official CATHY THOMPSON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # PHY22575
CA Medicaid PHA225750
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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