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General NPI Number Information
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NPI Number | 1326850082
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Entity Type | Organization
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Legal Business Name | REMEDY RX COMPOUNDING PHARMACY SAN JOSE
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 6100 HELLYER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95138-1057
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Country | US
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Telephone | 408-227-1098
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Fax | 408-227-1206
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Provider Business Mailing Address
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Address Line | 6100 HELLYER AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95138-1057
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Country | US
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Telephone | 408-227-1098
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Fax | 408-227-1206
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. PUJA KHANA
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Credential | PHARM. D
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Telephone | 408-227-1098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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