Individual
TONY LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2643 SENTER RD STE A, SAN JOSE, CA 95111-1184
(408) 287-4899
(408) 287-4898
Mailing address
2556 PANTALIS CT, SAN JOSE, CA 95132-2636
(408) 649-0938
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
176842
CA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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