Individual
BARRY LYNN KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
DOMINICAN PLAZA PHARMACY, 1595 SOQUEL DR SUITE 120, SANTA CRUZ, CA 95065
(831) 462-7726
(831) 462-7615
Mailing address
3096 W LEDYARD WAY, APTOS, CA 95003-3829
(831) 234-0322
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
29416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29416
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
09/07/2018
Last updated
09/07/2018
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