Provider Demographics
NPI:1851971022
Name:PANDIA PHARMACY INC.
Entity Type:Organization
Organization Name:PANDIA PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-460-6277
Mailing Address - Street 1:1900 CAMDEN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2944
Mailing Address - Country:US
Mailing Address - Phone:650-437-0561
Mailing Address - Fax:844-493-7071
Practice Address - Street 1:1900 CAMDEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2944
Practice Address - Country:US
Practice Address - Phone:650-437-0561
Practice Address - Fax:844-493-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy