Tully Clinic Pharmacy
Community/Retail Pharmacy
1693 Flanigan Dr, Ste 104, San Jose
California, 95121-1683
408-274-6698 408-274-8580
Tully Clinic Pharmacy is a Community/Retail Pharmacy in San Jose, California. It is located at 1693 Flanigan Dr, Ste 104, San Jose and it's customer support contact number is 408-274-6698. The authorized person of Tully Clinic Pharmacy is Dai Vo who is Pic And President of the pharmacy and his contact number is 408-274-6698. Active license number of Tully Clinic Pharmacy is PHY35754 for Community/Retail Pharmacy in California.
Tully Clinic Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Tully Clinic Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tully Clinic Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 1693 Flanigan Dr, Ste 104, San Jose,
California, 95121-1683 |
| Phone: | 408-274-6698 |
| Fax: | 408-274-8580 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dai Vo |
| Position: | Pic And President |
| Contact Number: | 408-274-6698 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689700080 |
| NPI Enumeration Date: | 27 Feb, 2007 |
| NPI Last Update On: | 15 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tully Clinic Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY35754 | California | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0598536 | Other | | Ncpdp Provider Identification Number |
| PHA357540 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1693 Flanigan Dr, Ste 104
San Jose, California |
| Zip: | 95121-1683 |
| Phone Number: | 408-274-6698 |
| Fax Number: | 408-274-8580 |
Patients can reach Tully Clinic Pharmacy at
1693 Flanigan Dr, Ste 104, San Jose, California or can
call on customer care at 408-274-6698.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.