Ted's Village Pharmacy Inc.
NPI #1205982543 in San Mateo, California
Provider Information
- NPI Number
- 1205982543
- Entity Type
- Organization
- Organization Name
- Ted's Village Pharmacy Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 29 W 25TH AVE
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-2236
- Phone
- (650) 349-1373
Authorized Official
- Name
- NGUYEN TAM PHAM, PHAM.D
- Title
- CEO
- Phone
- (650) 349-1373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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