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Organization
UYEN THAI
Active
Organization
UYEN THAI
Active
Other names
DOWNTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
UYEN THAI (PIC)
(408) 298-2255
Entity
Organization
Contact information
Practice address
60 N 13TH ST, SUITE A, SAN JOSE, CA 95112-3525
(408) 298-2255
(408) 298-2555
Mailing address
60 N 13TH ST, SUITE A, SAN JOSE, CA 95112-3525
(408) 298-2255
(408) 298-2555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0503828
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/12/2006
Last updated
09/21/2011
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