Individual
AMENA NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-3925
Mailing address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-3925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88368
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
11/06/2023
Last updated
11/06/2023
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