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NPI Code Detail

MEDICARE: B & B PHARMACY

MEDICARE: B & B PHARMACY
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 PharmacyPHY22907CA

General Provider Information

NPI Number : 1043345952
Entity Type Code : Organization
Provider Name (Legal Business Name) : B & B PHARMACY
Provider Business Mailing Address
First Line : 2655 BALBOA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-2804
Country : US
Telephone Number : 415-221-0902
Fax Number : 415-221-0951
Provider Business Practice Location Address
First Line : 2655 BALBOA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-2804
Country : US
Telephone Number : 415-221-0902
Fax Number : 415-221-0951
Authorized Official
Title or Position : OWNER
Name : MYUNG SEO
Credential : RPH D
Telephone Number : 415-221-0902
Provider Enumeration Date : 02/22/2007
Last Update Date : 08/22/2020

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Directions to “B & B PHARMACY ” Practice Location

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