PACIFIC PHARMACY
Medical Equipment Supplier Yellow Pages
San Jose, California
Provider NPI: 1104999119
Organization Information:Organization Name: PACIFIC PHARMACY
Practice Location:
2874 ALUM ROCK AVE STE A SAN JOSE, CA 95127 US
Tel: 408-937-4618 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2874 ALUM ROCK AVE STE A SAN JOSE, CA 95127 US
Tel: 408-937-4618 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | CA | 47826 |
Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 47826 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA409030 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin