Healthcare Provider Details

I. General information

NPI: 1235859992
Provider Name (Legal Business Name): HELLORX PHARMACY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2268 SENTER RD STE 202
SAN JOSE CA
95112-2623
US

IV. Provider business mailing address

2268 SENTER RD STE 202
SAN JOSE CA
95112-2623
US

V. Phone/Fax

Practice location:
  • Phone: 669-250-6544
  • Fax:
Mailing address:
  • Phone: 669-250-6544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NHUONG KICH LE
Title or Position: PHARMACIST
Credential: RPH
Phone: 408-222-9890