Healthcare Provider Details

I. General information

NPI: 1225942949
Provider Name (Legal Business Name): LANDSPATH RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 WILLIAMS ST STE 200
SAN LEANDRO CA
94577-2334
US

IV. Provider business mailing address

2010 WILLIAMS ST STE 200
SAN LEANDRO CA
94577-2334
US

V. Phone/Fax

Practice location:
  • Phone: 206-388-2621
  • Fax:
Mailing address:
  • Phone: 206-388-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOSHUA HOWLAND
Title or Position: HEAD OF PHARMACY
Credential: PHARM.D
Phone: 206-388-2621