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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