East Bay Aids Center Outpatient Pharmacy

LBN: Alta Bates Summit Medical Center
East Bay Aids Center Outpatient Pharmacy is an health care organization with primary practice located at 3100 Summit St , Oakland CA 94609-3412. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alta Bates Summit Medical Center can be contacted via phone (510) 869-8451, or through So, Michelle via phone (510) 869-8456.

Contact Information

Primary practice address
3100 Summit St Oakland CA 94609-3412
Phone: (510) 869-8451
Fax: (510) 869-8458
Website:
Map and Directions
Authorized official contact:
Name: So, Michelle PHARM.D.
Phone: (510) 869-8456

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49947 California
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1780813485
LBN Legal business name Alta Bates Summit Medical Center
DBA Doing business as East Bay Aids Center Outpatient Pharmacy
Authorized official So, Michelle PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2009
Last updated Jan 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780813485 NPPES
Other 2121109 PK
MEDICAID 1780813485 PK

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