Organization
LINDA RX PHARMACY INC
Active
Other names
LINDA RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PHUONG PHRMD (OWNER)
(408) 270-2828
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, 130, SAN JOSE, CA 95121-1794
(408) 270-2828
(408) 270-2092
Mailing address
1569 LEXANN AVE, 130, SAN JOSE, CA 95121-1794
(408) 270-2828
(408) 270-2092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628372
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA486450
—
CA
Enumeration date
07/24/2007
Last updated
11/01/2012
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