Organization
VIET TOWN PHARMACY
Active
Other names
Viet Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KHOA PHAM RPH (PRESIDENT/TREASURER)
(408) 728-2407
Entity
Organization
Contact information
Practice address
999 STORY RD UNIT 9024, SAN JOSE, CA 95122-4604
(408) 728-2407
Mailing address
5669 MORNINGSIDE DR, SAN JOSE, CA 95138-2229
(408) 728-2407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY54955
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164672
PK
—
Enumeration date
07/13/2016
Last updated
03/06/2017
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