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General NPI Number Information
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NPI Number | 1457109829
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Entity Type | Organization
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Legal Business Name | FRIENDLY PHARMACY INC (DBA: FRIENDLY #2 PHARMACY)
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Dates
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Enumeration Date | 05/09/2024
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 639 TULLY RD STE A
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City | SAN JOSE
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State | CA
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Zip | 95111-1000
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Country | US
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Telephone | 408-226-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 639 TULLY RD STE A
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City | SAN JOSE
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State | CA
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Zip | 95111-1000
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Country | US
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Telephone | 408-226-0200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHU ANH NGUYEN
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Credential |
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Telephone | 408-279-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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