Organization
ANH QUANG PHAM
Active
Other names
PHAM ANHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANH PHAM (OWNER)
(408) 947-7900
Entity
Organization
Contact information
Practice address
527 E SANTA CLARA ST, SAN JOSE, CA 95112-2004
(408) 947-7900
(408) 947-7114
Mailing address
527 E SANTA CLARA ST, SAN JOSE, CA 95112-2004
(408) 947-7900
(408) 947-7114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0576403
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA395790
—
CA
Enumeration date
10/07/2006
Last updated
02/18/2011
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