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Organization
DISCO REX PHARMACY INC
Active
Organization
DISCO REX PHARMACY INC
Active
Other names
DISCO REX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YU FUN THOMAS LAI (PRESIDENT)
(650) 326-3873
Entity
Organization
Contact information
Practice address
328 UNIVERSITY AVE, PALO ALTO, CA 94301-1715
(650) 326-3873
(650) 326-0403
Mailing address
328 UNIVERSITY AVE, PALO ALTO, CA 94301-1715
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY33116
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540357
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA331160
—
CA
Enumeration date
09/12/2006
Last updated
10/09/2007
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