| NPI | 1104043207 |
|---|---|
| Doing Business As | SAN JOSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LOAN TU NGUYEN PHAM PIC 408-280-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY40015) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2009-05-12 |