Individual
JILL LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
3694 CADWALLADER AVE, SAN JOSE, CA 95121-1103
(408) 646-2462
Mailing address
1029 E CAPITOL EXPY, SAN JOSE, CA 95121-2415
(408) 626-6060
(408) 629-2544
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
161512
CA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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