| NPI | 1245787688 |
|---|---|
| Doing Business As | SAN JOSE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK J D'ANGELO President/Owner 408-296-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54957) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY54957) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-10-05 |