Organization
TIFFANY THU INC
Active
Organization
TIFFANY THU INC
Active
Other names
KING PHARMACY AND DME
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LAM (OWNER/PHARMACIST)
(408) 347-0193
Entity
Organization
Contact information
Practice address
2323 MONTPELIER DR, STE D, SAN JOSE, CA 95116-1611
(408) 347-0193
(408) 347-0293
Mailing address
2323 MONTPELIER DR, STE D, SAN JOSE, CA 95116-1611
(408) 347-0193
(408) 347-0293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992447
PK
—
05
—
PHA451980
—
CA
Enumeration date
06/22/2005
Last updated
09/19/2025
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