Individual
ALICE PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75933
CA
Other
Enumeration date
05/13/2016
Last updated
06/23/2020
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