Organization
JADE 2 PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AN DUY NGUYEN (PRESIDENT)
(559) 765-1325
Entity
Organization
Contact information
Practice address
10133 S DE ANZA BLVD STE B, CUPERTINO, CA 95014-2126
(408) 899-4199
(408) 816-7265
Mailing address
10133 S DE ANZA BLVD STE B, CUPERTINO, CA 95014-2126
(408) 899-4199
(408) 816-7265
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56828
CALIFORNIA STATE BOARD LICENSE
CA
Enumeration date
04/02/2019
Last updated
12/01/2025
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