# PHAST PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184238925
- **Authorized official:** AYMAN MOHAMED (OWNER)
- **Authorized official phone:** (661) 578-6500

## Contact information

- **Practice address:** 1121 W COLUMBUS ST, BAKERSFIELD, CA 93301-1105
- **Practice address phone:** (661) 578-6500
- **Mailing address:** 1121 W COLUMBUS ST, BAKERSFIELD, CA 93301-1105
- **Mailing address phone:** (661) 578-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 08/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100157328 | — | CA |