NPI | 1689700080 |
---|---|
Doing Business As | TULLY MEDICAL CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | DAI VO PIC And President 408-274-6698 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY35754) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-11-15 |