Organization
LEXANN PHARMACY INC
Active
Other names
LEXANN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY LAI PHRMD (OWNER)
(408) 806-6168
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, STE 104, SAN JOSE, CA 95121-1794
(408) 528-9079
(408) 528-9070
Mailing address
1569 LEXANN AVE, STE 104, SAN JOSE, CA 95121-1794
(408) 528-9079
(408) 528-9070
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
48794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112966
PK
—
Enumeration date
10/26/2007
Last updated
05/13/2016
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