Organization
ICARE PHARMACY 2
Active
Other names
iCare Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
LINH NGUYEN (PIC)
(408) 398-9071
Entity
Organization
Contact information
Practice address
920 SUNNYSLOPE RD, HOLLISTER, CA 95023-5784
(408) 926-7691
(408) 926-7697
Mailing address
920 SUNNYSLOPE RD, 920 SUNNYSLOPE ROAD, HOLLISTER, CA 95023-5784
(408) 926-7691
(408) 926-7697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY55515
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168561
PK
—
Enumeration date
03/29/2017
Last updated
03/29/2017
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