Organization
SAN JOSE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TONY GALE WALKER RPH (OWNER)
(818) 247-3266
Entity
Organization
Contact information
Practice address
222 W EULALIA ST STE 212, GLENDALE, CA 91204-2851
(818) 247-3266
(818) 247-3267
Mailing address
13428 MAXELLA AVE # 193, MARINA DEL REY, CA 90292-5620
(818) 247-3266
(818) 247-3267
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
24085532
CA
Other
Enumeration date
07/13/2006
Last updated
06/24/2008
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