Healthcare Provider Details

I. General information

NPI: 1871812354
Provider Name (Legal Business Name): JAMES GEE BS PHARMACY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 05/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 SOLANO SQ
BENICIA CA
94510-2712
US

IV. Provider business mailing address

60 SOLANO SQ
BENICIA CA
94510-2712
US

V. Phone/Fax

Practice location:
  • Phone: 707-746-0229
  • Fax: 707-746-8605
Mailing address:
  • Phone: 707-746-0229
  • Fax: 707-746-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31521
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: