Organization
MATSUO ENTERPRISES INC
Active
Other names
silicon valley pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MATSUO (OFFICER)
(408) 378-5381
Entity
Organization
Contact information
Practice address
1550 WINCHESTER BLVD STE 107, CAMPBELL, CA 95008-0553
(408) 378-5381
(408) 378-1159
Mailing address
PO BOX 320485, LOS GATOS, CA 95032-0108
(408) 378-5381
(408) 378-1159
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY442280
—
CA
Enumeration date
08/04/2006
Last updated
01/09/2023
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