Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
Gardner South County Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN TONG (PHARMACY DIRECTOR)
(408) 918-2613
Entity
Organization
Contact information
Practice address
7526 MONTEREY ST, GILROY, CA 95020-5826
(408) 848-9494
(408) 848-9496
Mailing address
7526 MONTEREY ST, GILROY, CA 95020-5826
(408) 848-9494
(408) 848-9496
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
49270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5633816
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/16/2009
Last updated
10/09/2009
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