Organization
REGIONAL PHARMACY INC.
Active
Other names
San Jose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHI TIEN NGUYEN PHARMD (PHARMACIST IN CHARGE/PRESIDENT)
(468) 254-8884
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE STE 235, SAN JOSE, CA 95116-1599
(408) 254-8884
(408) 254-8885
Mailing address
200 JOSE FIGUERES AVE STE 235, SAN JOSE, CA 95116-1599
(408) 254-8884
(408) 254-8885
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY49878
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121501
PK
—
Enumeration date
08/06/2009
Last updated
12/13/2018
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