Organization
LAPANSMART INC
Active
Other names
Los Alamitos Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PINAK GANDHI (CEO/OWNER)
(408) 396-9200
Entity
Organization
Contact information
Practice address
115 N JACKSON AVE, STE - 103, SAN JOSE, CA 95116-1924
(408) 259-1000
(408) 272-2342
Mailing address
115 N JACKSON AVE, STE - 103, SAN JOSE, CA 95116-1924
(408) 259-1000
(408) 272-2342
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY45063
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002851
PK
—
05
—
PHA450630
—
CA
Enumeration date
08/31/2006
Last updated
08/20/2020
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