Organization
LEITERS CAMBRIAN PARK DRUGS INC
Active
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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