Organization
BAY AREA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP THELAN PHAM PHARM D. (PHARMACIST/CO-OWNER)
(408) 622-8531
Entity
Organization
Contact information
Practice address
2519 S KING RD, SAN JOSE, CA 95122-1825
(408) 622-8531
(408) 622-8621
Mailing address
2519 S KING RD, SAN JOSE, CA 95122-1825
(408) 622-8531
(408) 622-8621
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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