Organization
PANSMART INC
Active
Other names
Tully Medical Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PINAK GANDHI (CEO)
(408) 396-9200
Entity
Organization
Contact information
Practice address
1693 FLANIGAN DR, 104, SAN JOSE, CA 95121-1683
(408) 274-6698
(408) 274-8580
Mailing address
1693 FLANIGAN DR, 104, SAN JOSE, CA 95121-1683
(408) 274-6698
(408) 274-8580
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51483
CA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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