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La Clinica De La Raza, Inc.
Clinic Pharmacy in Oakland, California
NPI 1184194482

La Clinica De La Raza, Inc. is a Clinic Pharmacy based in Oakland, CA and is specialized in Clinic Pharmacy. La Clinica De La Raza, Inc. practices in Oakland, CA. The NPI Number for La Clinica De La Raza, Inc. is 1184194482 and holds a License No. (California).

The current practice location address for La Clinica De La Raza, Inc. is 3451 E 12Th St, Oakland, CA and can be reached out via phone at 510-535-3375 and via fax at 510-535-4169.

Location: 3451 E 12Th St, Oakland, CA, 94623-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184194482
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
3451 E 12Th St, Oakland, CA, 94623-2210
Phone Number
510-535-3375
Fax Number
510-535-4169
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5070442 05 CA
institution
Provider Business Practice Location Address Details
Address
3451 E 12Th St
City
Oakland
State
California
Zip
94601-3463
Phone Number
510-535-3375
Fax Number
510-535-4169
person
Provider Business Mailing Address Details
Address
3451 E 12Th St
City
Oakland
State
California
Zip
94601-3463
Phone Number
510-535-3375
Fax Number
510-535-4169
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
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Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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