Ted's Village Pharmacy Inc.

NPI 1205982543 - Pharmacy - 3336C0003X

NPI Details
NPI 1205982543
Enumeration Date 01/27/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NGUYEN TAM NGUYEN
Position CEO
Phone (650) 349-1373
Fax (650) 349-1745
Practice Location
29 W 25TH AVE
SAN MATEO CA, 94403-2236, US
Phone (650) 349-1373
Fax (650) 349-1745
Business Location
29 W 25TH AVE
SAN MATEO CA, 94403-2236, US
Phone (650) 349-1373
Fax (650) 349-1745
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number PHY46796
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According to our database, Ted's Village Pharmacy Inc. NPI is 1205982543, taxonomy code is 3336C0003X and license number is PHY46796, license state is located at California. Ted's Village Pharmacy Inc. physically located at 29 W 25th Ave, San Mateo CA, 94403-2236. NPI Number 1033115704 has the healthcare provider type.

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1205982543 NPI number is provided on an as is basis without warranty of any kind. 1205982543 is maintained by the National Plan & Provider Enumeration System. The contents of Ted's Village Pharmacy Inc. are for informational purposes only.