MEDICARE: LION RX INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1609692813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LION RX INC.

Provider Business Mailing Address
First Line	:	2857 SENTER RD STE A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1100
Country	:	US
Telephone Number	:	408-784-3921
Fax Number	:

Provider Business Practice Location Address
First Line	:	2857 SENTER RD STE A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1100
Country	:	US
Telephone Number	:	408-784-3921
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	THANH H NGUYEN
Credential	:
Telephone Number	:	408-806-0647

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	12/03/2024

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Directions to “LION RX INC. ” Practice Location

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