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FRUITVALE MEDICAL CENTER PHARMACY NPI 1972594448


NPI Information

NPI: 1972594448
Provider Name: FRUITVALE MEDICAL CENTER PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3024 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601
Phone: (510) 535-1005
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FRUITVALE MEDICAL CENTER PHARMACY 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. FRUITVALE MEDICAL CENTER PHARMACY NPI is 1972594448. The provider is registered as an organization entity type.

The provider's business location address is:

3024 INTERNATIONAL BLVD
OAKLAND, CA
ZIP 94601-204
Phone: (510) 535-1005
Fax: (510) 535-9374

The provider's authorized official is Kuo Liang Yang .
The authorized official title is Pharmacist Owner and has the following contact phone number (510) 535-1005.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/11/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY35207CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10594538OTHERCALIFORNIAALAMEDA ALLIANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.