Organization
JADE PHARMACY INC
Active
Other names
Jade Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AN NGUYEN (PRESIDENT/AO)
(510) 792-4742
Entity
Organization
Contact information
Practice address
46356 WARM SPRINGS BLVD UNIT 872, FREMONT, CA 94539-7021
(510) 792-4742
(510) 792-4745
Mailing address
46356 WARM SPRINGS BLVD UNIT 872, FREMONT, CA 94539-7021
(510) 792-4742
(510) 792-4745
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160340
PK
—
Enumeration date
05/27/2016
Last updated
10/21/2025
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