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2500 MILVIA PRESCRIPTION PHARMACY

Medical Equipment Supplier Yellow Pages

Berkeley, California

Provider NPI: 1700895034

Organization Information:
Organization Name:  2500 MILVIA PRESCRIPTION PHARMACY


Practice Location:
2500 MILVIA ST STE 130 BERKELEY, CA 94704 US
Tel: 510-548-0773  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
CAPHY22894

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER056977501
PHA228940CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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