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NPI Code Detail

MEDICARE: PANDIA PHARMACY INC.

MEDICARE: PANDIA PHARMACY INC.
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
1333600000XPharmacy

General Provider Information

NPI Number : 1851971022
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANDIA PHARMACY INC.
Provider Business Mailing Address
First Line : 1900 CAMDEN AVE STE 101
Second Line :
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 AVE STE 101
Second Line :
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 : CFO
Name : MS. SUSANA CRAIG
Credential :
Telephone Number : 408-460-6277
Provider Enumeration Date : 04/12/2021
Last Update Date : 04/12/2021

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Directions to “PANDIA PHARMACY INC. ” Practice Location

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