Organization
SNP PHARMACY LLC
Active
Other names
SKILLED NURSING PHARMACY HAYWARD
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY BAYLIN (MANAGER)
(626) 820-5810
Entity
Organization
Contact information
Practice address
21150 CABOT BLVD, HAYWARD, CA 94545-1130
(510) 300-6470
(510) 300-6486
Mailing address
21150 CABOT BLVD, HAYWARD, CA 94545-1130
(800) 801-2224
(510) 300-6486
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY49974
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112566
PK
—
05
—
PHA499740
—
CA
Enumeration date
08/10/2007
Last updated
12/10/2024
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