Phanle, INC
Pharmacy, Community/Retail Pharmacy in San Jose, CA. Organization (NPI-2).
NPI number1114014339
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114014339
- Entity type
- Organization (NPI-2)
- Legal business name
- Phanle, INC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 48233 | CA | Yes |
Other names
- Get Well Pharmacy (Doing Business As)
Practice location
2820 Alum Rock AveSuite 43
San Jose, CA 95127-5608
Phone 408-937-1934 · Fax 408-937-1475
Mailing address
2820 Alum Rock AveSuite 43
San Jose, CA 95127-5608
Phone 408-937-1934 · Fax 408-937-1475
Authorized official
Kiet Q Phan
Secretary
4085697948
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