Fruitvale Medical Center Pharmacy

LBN: Fruitvale Medical Center Pharmacy
Fruitvale Medical Center Pharmacy is an health care organization with primary practice located at 3024 International Blvd , Oakland CA 94601-2204. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Fruitvale Medical Center Pharmacy can be contacted via phone (510) 535-1005, or through Yang, Kuo Liang via phone (510) 535-1005.

Contact Information

Primary practice address
3024 International Blvd Oakland CA 94601-2204
Phone: (510) 535-1005
Fax: (510) 535-9374
Website:
Map and Directions
Authorized official contact:
Name: Yang, Kuo Liang
Phone: (510) 535-1005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY35207 California

Profile Details

NPI number 1972594448
LBN Legal business name Fruitvale Medical Center Pharmacy
DBA Doing business as
Authorized official Yang, Kuo Liang
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 11th, 2008 - about 16 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 1972594448 NPPES
California Other 0594538 ALAMEDA ALLIANCE

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