Organization
BYRAM HEALTHCARE CENTERS, INC
Active
Parent organization
BYRAM HOLDINGS I, INC.
Other names
BOWERMANS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BYRAM HOLDINGS I, INC.
Authorized official
PERRY A BERNOCCHI (PRESIDENT AND CEO)
(914) 286-2000
Entity
Organization
Contact information
Practice address
3131 S WILLOW AVE, STE 103, FRESNO, CA 93725-9349
(559) 256-7988
(866) 514-2911
Mailing address
3131 S WILLOW AVE, STE 103, FRESNO, CA 93725-9349
(559) 256-7988
(866) 514-2911
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0523402
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1144325556
—
CA
05
—
PHA470430
—
CA
Enumeration date
09/13/2006
Last updated
01/03/2012
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