Provider Demographics
NPI:1326850082
Name:REMEDY RX COMPOUNDING PHARMACY SAN JOSE
Entity type:Organization
Organization Name:REMEDY RX COMPOUNDING PHARMACY SAN JOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:408-227-1098
Mailing Address - Street 1:6100 HELLYER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-1057
Mailing Address - Country:US
Mailing Address - Phone:408-227-1098
Mailing Address - Fax:408-227-1206
Practice Address - Street 1:6100 HELLYER AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-1057
Practice Address - Country:US
Practice Address - Phone:408-227-1098
Practice Address - Fax:408-227-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy