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NPI Code Detail

MEDICARE: JANICE GANGE PHARM.D.

MEDICARE: JANICE GANGE PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist58182CA

General Provider Information

NPI Number : 1417236993
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE GANGE PHARM.D.
Provider Business Mailing Address
First Line : 3155 SILVER CREEK RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95121-1730
Country : US
Telephone Number : 408-238-6070
Fax Number : 408-238-6070
Provider Business Practice Location Address
First Line : 3155 SILVER CREEK RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95121-1730
Country : US
Telephone Number : 408-238-6070
Fax Number : 408-238-6070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2011
Last Update Date : 08/15/2011

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