Organization
MEDEX HM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUYET NGHIEM RPH (OWNER)
(408) 292-8244
Entity
Organization
Contact information
Practice address
405 E SANTA CLARA ST, SAN JOSE, CA 95113-1914
(408) 292-8244
(408) 298-2931
Mailing address
405 E SANTA CLARA ST, SAN JOSE, CA 95113-1914
(408) 292-8244
(408) 298-2931
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY34930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000219
PK
—
05
—
PHA349300
—
CA
Enumeration date
09/22/2006
Last updated
04/11/2018
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