Organization
SISCARE RX LLC
Active
Other names
GARCIACARE
Organization subpart
No
Provider details
NPI number
Authorized official
THUY MIEN T. LE PHARM D (MANAGING MEMBER)
(408) 251-0205
Entity
Organization
Contact information
Practice address
25 N 14TH ST STE 168, SAN JOSE, CA 95112-6204
(408) 251-0205
(408) 272-5819
Mailing address
25 N 14TH ST STE 168, SAN JOSE, CA 95112-6204
(408) 251-0205
(408) 272-5819
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57970
BOARD OF PHARMACY
CA
Enumeration date
12/04/2020
Last updated
01/04/2021
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