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General NPI Number Information
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NPI Number | 1538186465
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Entity Type | Organization
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Legal Business Name | FRIENDLY PHARMACY INCORPORATED
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 485 LEWIS RD STE D
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City | SAN JOSE
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State | CA
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Zip | 95111-2196
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Country | US
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Telephone | 408-226-0200
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Fax | 408-226-0201
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Provider Business Mailing Address
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Address Line | 485 LEWIS RD STE D
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City | SAN JOSE
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State | CA
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Zip | 95111-2196
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Country | US
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Telephone | 408-226-0200
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Fax | 408-226-0201
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST STAFF
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Name | DR. PHU ANH NGUYEN
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Credential | PHARMD
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Telephone | 408-226-0200
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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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