# SNP PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SKILLED NURSING PHARMACY HAYWARD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336331677
- **Authorized official:** RUBY BAYLIN (MANAGER)
- **Authorized official phone:** (626) 820-5810

## Contact information

- **Practice address:** 21150 CABOT BLVD, HAYWARD, CA 94545-1130
- **Practice address phone:** (510) 300-6470
- **Practice address fax:** (510) 300-6486
- **Mailing address:** 21150 CABOT BLVD, HAYWARD, CA 94545-1130
- **Mailing address phone:** (800) 801-2224
- **Mailing address fax:** (510) 300-6486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY49974 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2112566 | PK | — |
| 05 | — | PHA499740 | — | CA |