Organization
MCCORMACK DRUGS INC
Active
Organization
MCCORMACK DRUGS INC
Active
Other names
Tenth Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT FRANK HOLLEY PHARMD (PRESIDENT)
(408) 294-9131
Entity
Organization
Contact information
Practice address
448 E SANTA CLARA ST, SAN JOSE, CA 95113-1913
(408) 294-9131
(408) 294-5957
Mailing address
448 E SANTA CLARA ST, SAN JOSE, CA 95113-1913
(408) 294-9131
(408) 294-5957
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY12258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546234
NCPDP
—
05
—
PHY122580
—
CA
Enumeration date
08/05/2006
Last updated
08/22/2020
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