# NORTHBAY MEDICAL CENTER PHARMACY

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

## Provider details

- **NPI number:** 1740623586
- **Authorized official:** RYAN SEO (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (707) 646-4290

## Contact information

- **Practice address:** 1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
- **Practice address phone:** (707) 646-4290
- **Practice address fax:** (707) 646-4264
- **Mailing address:** 1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
- **Mailing address phone:** (707) 646-4290
- **Mailing address fax:** (707) 646-4264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 91000196 | CA | Yes |

## Other

- **Enumeration date:** 04/11/2013
- **Last updated:** 12/16/2019