Organization
JACKSON LTC PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRINIVAS REDDY KATPELLY (PRESIDENT)
(415) 464-9777
Entity
Organization
Contact information
Practice address
266 N JACKSON AVE, 8B, SAN JOSE, CA 95116-1606
(408) 251-7009
(404) 251-7007
Mailing address
266 N JACKSON AVE, 8B, SAN JOSE, CA 95116-1606
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
10/14/2010
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