Organization
DOAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUAN MANH DOAN PHARMACIST (OWNER)
(408) 238-6319
Entity
Organization
Contact information
Practice address
1692 TULLY RD, SUITE 7, SAN JOSE, CA 95122-2549
(408) 238-6319
(408) 238-6363
Mailing address
1692 TULLY RD, SUITE 7, SAN JOSE, CA 95122-2549
(408) 238-6319
(408) 238-6363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY36150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA361500
—
CA
Enumeration date
04/05/2007
Last updated
03/20/2008
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