Healthcare Provider Details

I. General information

NPI: 1376390211
Provider Name (Legal Business Name): JENNIFER ZHOU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 LENZEN AVE
SAN JOSE CA
95126-2737
US

IV. Provider business mailing address

717 W JULIAN ST UNIT 529
SAN JOSE CA
95126-2862
US

V. Phone/Fax

Practice location:
  • Phone: 408-792-5170
  • Fax:
Mailing address:
  • Phone: 805-231-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number82505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: