MEDICARE: BANDY'S PHARMACY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	56037	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801875950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANDY'S PHARMACY INC.

Provider Business Mailing Address
First Line	:	707 W HOBSONWAY
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225-1514
Country	:	US
Telephone Number	:	760-922-5165
Fax Number	:	760-922-2691

Provider Business Practice Location Address
First Line	:	707 W HOBSONWAY
Second Line	:
City	:	BLYTHE
State	:	CA
Zip	:	92225
Country	:	US
Telephone Number	:	760-922-5165
Fax Number	:	760-922-0058

Authorized Official
Title or Position	:	CFO/OWNER
Name	:	MR. AMIT HASOLKAR
Credential	:	PHARM.D.
Telephone Number	:	760-922-5165

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	06/21/2018

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Directions to “BANDY'S PHARMACY INC. ” Practice Location

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