Henry Lawrence Bargert
Pharmacist in San Rafael, CA. Individual provider (NPI-1).
NPI number1659935948
StatusActive
Last updated in NPPESApr 23, 2019
Details
- NPI
- 1659935948
- Entity type
- Individual (NPI-1)
- Name
- Henry Lawrence Bargert
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2019
- Last updated
- Apr 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 41250 | CA | Yes |
Practice location
442 Las Gallinas AveSan Rafael, CA 94903-3618
Phone 415-479-9171
Mailing address
442 Las Gallinas AveSan Rafael, CA 94903-3618
Phone 415-479-9171
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