Organization
BACON EAST PHARMACY INC
Active
Other names
Bacon East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN WEEKES BS. PHARM (PIC)
(925) 687-0565
Entity
Organization
Contact information
Practice address
2485 HIGH SCHOOL AVE STE 114, CONCORD, CA 94520-1816
(925) 687-0565
(925) 687-7925
Mailing address
2485 HIGH SCHOOL AVE STE 114, CONCORD, CA 94520-1816
(925) 687-0565
(925) 687-7925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53596
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130847
PK
—
05
—
PHA330760
—
CA
Enumeration date
08/10/2006
Last updated
07/02/2019
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