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Tully Clinic Pharmacy

Community/Retail Pharmacy in San Jose, CA · enumerated 2007 · authorized official Dai Vo, Pic and President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689700080

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Registry record

Entity type Organization (Type 2)
Legal business name Tully Clinic Pharmacy
Other name <Unavail>
Practice address 1693 Flanigan Dr, Ste 104, San Jose, CA, 95121
Fax (408) 274-8580
Enumeration date Feb 27, 2007
Last updated in NPPES Nov 15, 2011

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY35754 (CA) Primary

Authorized official

Name Dai Vo
Title Pic and President

Other identifiers

Identifier Type State Issuer
0598536 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
PHA357540 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Tully Clinic Pharmacy located?
The practice location on file with NPPES is in San Jose, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-15.