# AMGPHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAY AREA MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528134442
- **Authorized official:** LYUDMILA LYUSTIN (PRESIDENT)
- **Authorized official phone:** (888) 633-2291

## Contact information

- **Practice address:** 2700 INTERNATIONAL BLVD, SUITE A, OAKLAND, CA 94601-1520
- **Practice address phone:** (888) 633-2291
- **Mailing address:** 2700 INTERNATIONAL BLVD, A, OAKLAND, CA 94601-1520
- **Mailing address phone:** (888) 633-2291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5503220001 | CA | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 08/22/2020