San Jose Pharmacy, Inc. in Marina Del Rey - Community Health
San Jose Pharmacy, Inc. - NPI 1912922741
San Jose Pharmacy, Inc. is a Community Health in Marina Del Rey, California. San Jose Pharmacy, Inc. practices all healthcare services and medical treatments related to Community Health. The NPI Number for San Jose Pharmacy, Inc. is 1912922741. The last update date is 2008-06-24.
San Jose Pharmacy, Inc.'s current location address is 13428 Maxella Ave # 193, Marina Del Rey, California. You can contact this provider via phone number 8182473266 and fax number 8182473267. The mailing address for San Jose Pharmacy, Inc. is 13428 Maxella Ave # 193, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose Pharmacy, Inc. |
|---|---|
| Address | 13428 Maxella Ave # 193, Marina Del Rey, California |
| Phone Number | 8182473266 |
| Fax Number | 8182473267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walker Gale Tony |
| Credentials | RPH |
| Telephone Number | 8182473266 |
NPI Number Detail
| NPI Number | 1912922741 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 13428 Maxella Ave # 193 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902925620 |
| Phone Number | 8182473266 |
| Fax Number | 8182473267 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 24085532 |
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Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
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What is the unique 10-digit identifier code assigned to San Jose Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The San Jose Pharmacy, Inc. has been issued the NPI (National Provider Identifier) 1912922741 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the San Jose Pharmacy, Inc.'s physical address?
The San Jose Pharmacy, Inc. is physically located at 13428 Maxella Ave # 193, in the city of Marina Del Rey, CA, with the postal code 902925620.
What is San Jose Pharmacy, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The San Jose Pharmacy, Inc.'s area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qc1500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912922741 to San Jose Pharmacy, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1912922741 to San Jose Pharmacy, Inc. on 2006-07-13.
As of what date were the San Jose Pharmacy, Inc.'s details last updated?
The information pertaining to the San Jose Pharmacy, Inc., including its address, specialty, and other details, was most recently updated on 2008-06-24.