Individual
BRENDA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
275 HOSPITAL PKWY STE 625, SAN JOSE, CA 95119-1141
(408) 363-4569
Mailing address
275 HOSPITAL PKWY STE 625, SAN JOSE, CA 95119-1141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65741
CA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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