Organization
NAM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HIEN QUY PHAM RPH (OWNER MANAGER)
(408) 295-6111
Entity
Organization
Contact information
Practice address
804 EAST JULIAN ST, SUITE C, SAN JOSE, CA 95112-1809
(408) 295-6111
(408) 295-6012
Mailing address
804 EAST JULIAN ST, SUITE C, SAN JOSE, CA 95112-1809
(408) 295-6111
(408) 295-6012
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA394400
—
CA
Enumeration date
03/23/2007
Last updated
11/16/2007
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