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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