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Organization
CALI PHARMACY
Active
Organization
CALI PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNG PHI PHAN (OWNER)
(408) 275-0858
Entity
Organization
Contact information
Practice address
702 E SANTA CLARA ST, SUITE 1, SAN JOSE, CA 95112-1920
(408) 275-0858
(408) 275-0859
Mailing address
702 E SANTA CLARA ST, SUITE 1, SAN JOSE, CA 95112-1920
(408) 275-0858
(408) 275-0859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA438820
—
CA
Enumeration date
12/11/2006
Last updated
07/14/2008
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