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General NPI Number Information
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NPI Number | 1457813131
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Entity Type | Organization
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Legal Business Name | JADE 2 PHARMACY INC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 10133 S DE ANZA BLVD STE B
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City | CUPERTINO
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State | CA
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Zip | 95014-2126
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Country | US
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Telephone | 408-899-4199
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Fax | 408-816-7265
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Provider Business Mailing Address
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Address Line | 10133 S DE ANZA BLVD STE B
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City | CUPERTINO
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State | CA
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Zip | 95014-2126
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Country | US
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Telephone | 408-899-4199
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Fax | 408-816-7265
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Authorized Official
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Title or Position | PRESIDENT
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Name | AN DUY NGUYEN
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Credential |
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Telephone | 559-765-1325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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