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Organization
WOODSIDE VILLAGE PHARMACY
Active
Organization
WOODSIDE VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MARTIN RPH (OWNER)
(650) 851-1131
Entity
Organization
Contact information
Practice address
3048 WOODSIDE RD, WOODSIDE, CA 94062-2551
(650) 851-1131
(650) 851-8613
Mailing address
3048 WOODSIDE RD, WOODSIDE, CA 94062-2551
(650) 851-1131
(650) 851-8613
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY39794
CA
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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