San Jose Compounding Pharmacy
LBN: White House Pharmacy Inc
San Jose Compounding Pharmacy is an health care organization with primary practice located at 2453 Forest Ave , San Jose CA 95128-1505. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
White House Pharmacy Inc can be contacted via phone (408) 296-5015, or through D'Angelo, Patrick J via phone (408) 296-5015.
Contact Information
Primary practice address
2453 Forest Ave
San Jose CA 95128-1505
Phone: (408) 296-5015
Fax: (408) 248-2790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY54957 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | PHY54957 | California |
Profile Details
| NPI number | 1245787688 |
|---|---|
| LBN Legal business name | White House Pharmacy Inc |
| DBA Doing business as | San Jose Compounding Pharmacy |
| Authorized official | D'Angelo, Patrick J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Oct 5th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245787688 | NPPES |
| California | Other | PHY 54957 | BOARD OF PHARMACY PERMIT |
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