| NPI | 1902056732 |
|---|---|
| Doing Business As | SAN JOSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEONG HO SO President 818-247-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55919) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-03-24 |