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Organization
PACIFIC PHARMACY
Active
Organization
PACIFIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNG VIET NGUYEN (OWNER)
(408) 937-4618
Entity
Organization
Contact information
Practice address
2874 ALUM ROCK AVE, STE A, SAN JOSE, CA 95127-2804
(408) 937-4618
(408) 937-8371
Mailing address
2874 ALUM ROCK AVE, STE A, SAN JOSE, CA 95127-2804
(408) 937-4618
(408) 937-8371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47826
CA
332B00000X
Durable Medical Equipment & Medical Supplies
47826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA409030
—
CA
Enumeration date
11/16/2006
Last updated
11/12/2008
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