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Provider Information for 1629391602


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BAYPHARMACY II A PROFESSIONAL CORP

Other Names:  
Doing Business As: 
BAY PHARMACY

Organization Subpart: NO

NPI: 1629391602
Last Updated: 2016-08-10
Certification Date:

Details

NameValue
NPI1629391602
Enumeration Date2010-03-05
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: BAY NGUYEN
Title: PRESIDENT
Phone: 4082230180
Mailing Address 1661 BURDETTE DR
STE AB
SAN JOSE, CA 95121-1613
United States

Phone: 408-223-0180 | Fax:408-223-2366
 
Primary Practice Address 1661 BURDETTE DR
STE AB
SAN JOSE, CA 95121-1613
United States

Phone: 408-223-0180 | Fax:408-223-2366
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2124240PK
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyCAPHY50122