Provider Demographics
NPI:1902388697
Name:DOWNTOWN PHARMACY INC
Entity Type:Organization
Organization Name:DOWNTOWN PHARMACY INC
Other - Org Name:DOWNTOWN PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DUAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:408-309-9223
Mailing Address - Street 1:60 N 13TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-3525
Mailing Address - Country:US
Mailing Address - Phone:408-298-2255
Mailing Address - Fax:408-298-2555
Practice Address - Street 1:60 N 13TH ST STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-3525
Practice Address - Country:US
Practice Address - Phone:408-298-2255
Practice Address - Fax:408-298-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy