Organization
PRESCRIPTION HEADQUARTERS INC
Active
Other names
Prescription Headquarters Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NEEL KAMAL PHARM D. (PRESIDENT/PIC)
(408) 277-0160
Entity
Organization
Contact information
Practice address
1340 TULLY RD, STE 312, SAN JOSE, CA 95122-3055
(408) 277-0160
(408) 277-0434
Mailing address
1340 TULLY RD, STE 312, SAN JOSE, CA 95122-3055
(408) 277-0160
(408) 277-0434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51910
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148024
PK
—
Enumeration date
07/30/2006
Last updated
07/06/2021
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