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NPI Code Detail

MEDICARE: PANDIA PHARMACY

MEDICARE: PANDIA PHARMACY
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1588306914
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANDIA PHARMACY
Provider Business Mailing Address
First Line : 1900 CAMDEN AVENUE
Second Line : SUITE 101
City : SAN JOSE
State : CA
Zip : 95124-2944
Country : US
Telephone Number : 650-437-0561
Fax Number : 844-493-7071
Provider Business Practice Location Address
First Line : 1900 CAMDEN AVENUE
Second Line : SUITE 101
City : SAN JOSE
State : CA
Zip : 95124-2944
Country : US
Telephone Number : 650-437-0561
Fax Number : 844-493-7071
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : SUSANA CRAIG
Credential :
Telephone Number : 650-437-0561
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/07/2022

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Directions to “PANDIA PHARMACY ” Practice Location

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