NPI 1598042905

Walgreens

Organisation Exclusive Provider Organization San Jose, CA

Practice location

Address: 2585 Almaden Road, San Jose, CA 95125
Phone: (408) 723-9905
Mailing address: 2585 Almaden Rd, San Jose, CA 95125-3603

Authorised official

Name: Miriam Craft
Title: Pharmacist
Phone: (408) 723-9905

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 47016 (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1598042905
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 14 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.