Organization
LEITERS CAMBRIAN PARK DRUGS INC
Active
Other names
LEITERS CAMBRIAN PARK DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK LEITER (PRESIDENT)
(408) 292-6772
Entity
Organization
Contact information
Practice address
1700 PARK AVE, STE 30, SAN JOSE, CA 95126-2033
(408) 292-6772
(408) 288-8252
Mailing address
1700 PARK AVE, STE 30, SAN JOSE, CA 95126-2033
(408) 292-6772
(408) 288-8252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45940
CA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546107
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHY45940
—
CA
Enumeration date
10/12/2006
Last updated
05/09/2011
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