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Organization

MEDICAL PLAZA PHARMACY INC

Active
Other names
Hoover Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN HAN (CHIEF OPERATING OFFICER)
(650) 412-4555
Entity
Organization

Contact information

Practice address
211 QUARRY RD STE 108, PALO ALTO, CA 94304-1416
(650) 326-2300
(650) 326-2351
Mailing address
420 INDUSTRIAL RD, SAN CARLOS, CA 94070-6286
(650) 412-4555

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY45166
CA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1997900
PK
05
PHY45166
CA
Enumeration date
08/31/2006
Last updated
05/17/2023
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