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Paul Bae

Pharmacist in Panorama City, CA. Individual provider (NPI-1).

NPI number1689396160
StatusActive
Last updated in NPPESNov 5, 2022

Details

NPI
1689396160
Entity type
Individual (NPI-1)
Name
Paul Bae
Sex
Male
Sole proprietor
No
Enumeration date
Sep 13, 2022
Certification date
Nov 5, 2022
Last updated
Nov 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist86824CAYes

Practice location

13652 Cantara St
Panorama City, CA 91402-5423

Phone 818-375-2870

Mailing address

13652 Cantara St
Panorama City, CA 91402-5423

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