NPI | 1497124689 |
---|---|
Doing Business As | CREEKSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | TIFFANY TRAN President 408-929-6029 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53654) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-09-18 |
Last Update Date | 2016-08-04 |