VITACARE PHARMACY INC. NPI 1902310246

NPI Information

VITACARE PHARMACY INC. is a pharmacy in Oakland, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. VITACARE PHARMACY INC. NPI is 1902310246. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Yonathan Seyoum.

The provider's business location address is:

2447 TELEGRAPH AVE
OAKLAND, CA
ZIP 94612-404
Phone: (510) 832-7500
Fax: (510) 832-2009

The provider's authorized official is Yonathan Seyoum .
The authorized official title is Manager/owner and has the following contact phone number (510) 832-7500.

The enumeration date for this NPI number is 11/23/2017 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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