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NPI Code Detail

MEDICARE: BEL AIR MARKET INC

MEDICARE: BEL AIR MARKET INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1700059722
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEL AIR MARKET INC
Provider Business Mailing Address
First Line : 500 W CAPITOL AVE
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95605-2624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W CAPITOL AVE
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95605-2624
Country : US
Telephone Number : 916-373-6146
Fax Number :
Authorized Official
Title or Position : VP PHARMACY & HLI
Name : FLINT PENDERGRAFT
Credential : PHARMD
Telephone Number : 916-373-6146
Provider Enumeration Date : 04/10/2008
Last Update Date : 04/10/2008

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Directions to “BEL AIR MARKET INC ” Practice Location

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