Provider First Line Business Practice Location Address:
2222 BANCROFT WAY
Provider Second Line Business Practice Location Address:
PHARMACY; RM 1115
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-642-3249
Provider Business Practice Location Address Fax Number:
510-642-5759
Provider Enumeration Date:
10/11/2016