Most Relevant Information
Provider Data
| NPI Number: | 1003197260 |
| Provider Name: | KARINA MACTAL QUENTELA RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 65645 |
Most Important Dates
| Enumeration Date: | 09/01/2011 |
| Last Updated: | 09/01/2011 |
Provider Practice Location
15650 SAN PABLO AVE
SAN PABLO
CA
948061240
Practice Location Phone/Fax
| Phone: | 5102431100 |
| Fax: | 5102430527 |
Provider Mailing Location
15650 SAN PABLO AVE
SAN PABLO
CA
948061240
Provider Mailing Phone/Fax
| Phone: | 5102431100 |
| Fax: | 5102430527 |