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NPI Code Detail

MEDICARE: INCI AYBAR PHARMACIST

MEDICARE:   INCI  AYBAR  PHARMACIST
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
1183500000XPharmacistRPH39194CA

General Provider Information

NPI Number : 1164708749
Entity Type Code : Individual
Provider Name (Legal Business Name) : INCI AYBAR PHARMACIST
Provider Business Mailing Address
First Line : 290 LLEWELLYN AVE
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-1939
Country : US
Telephone Number : 408-374-4859
Fax Number :
Provider Business Practice Location Address
First Line : 2201 SENTER RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2627
Country : US
Telephone Number : 408-947-2055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 10/27/2011

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Directions to “ INCI AYBAR PHARMACIST” Practice Location

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