Organization · Type 2 NPI

Alta Bates Summit Medical Center

Community/Retail Pharmacy · Oakland, CA

NPI number 1780813485 Active

Practice location

3100 Summit St
Oakland, CA 94609-3412

Call (510) 869-8451 Map

Fax (510) 869-8458

Mailing address

PO Box 742585
Los Angeles, CA 90074-2585

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY49947 (CA)
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

16 other providers at this address

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NPI record

NPI: 1780813485
Entity type: Organization (Type 2)
Issued: Jul 2, 2009
Last updated: Jan 20, 2022
Status: Active

Other names

<unavail>
East Bay Aids Center Outpatient Pharmacy · doing business as
East Bay Aids Center Outpatient Pharmacy · doing business as

Authorized official

Michelle So, PharmD
Pharmacist
(510) 869-8456

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780813485

Alta Bates Summit Medical Center's National Provider Identifier is 1780813485, issued on Jul 2, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Oakland, CA. The record was last updated on Jan 20, 2022.