Organization
KC PHARMACY CORPORATION
Active
Organization
KC PHARMACY CORPORATION
Active
Other names
KC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NHUONG KICH LE PHARM D (OWNER, PRESIDENT, CEO)
(602) 596-9958
Entity
Organization
Contact information
Practice address
2060 ABORN RD STE 150B, SAN JOSE, CA 95121-1587
(408) 400-4755
(408) 868-2326
Mailing address
2060 ABORN RD STE 150B, SAN JOSE, CA 95121-1587
(408) 400-4755
(408) 868-2326
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57447
BOARD OF PHARMACY LICENSE
CA
Enumeration date
12/05/2019
Last updated
12/14/2019
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