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Individual

MR. BAILEY JUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
17522 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6802
(714) 596-5272
Mailing address
20361 WIND CAVE LN, HUNTINGTON BEACH, CA 92646-5342
(714) 962-4245
(714) 962-4245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27200
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
27200
CA

Other

Enumeration date
09/16/2011
Last updated
09/16/2011
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