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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780813485 | NPPES |
| Other | 2121109 | PK | |
| MEDICAID | 1780813485 | PK |
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