Organization
HEALTHMARK PHARMACY, INC.
Active
Other names
San Jose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG HO SO (PRESIDENT)
(818) 247-3266
Entity
Organization
Contact information
Practice address
222 W. EULALIA STREET, SUITE 212, GLENDALE, CA 91204
(818) 247-3266
(818) 247-3267
Mailing address
222 W. EULALIA STREET, SUITE 212, GLENDALE, CA 91204
(818) 247-3266
(818) 247-3267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902056732
—
CA
01
—
2117486
PK
—
Enumeration date
09/29/2008
Last updated
03/24/2022
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