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Organization

AMGPHARMACY INC

Active
Other names
BAY AREA MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
LYUDMILA LYUSTIN (PRESIDENT)
(888) 633-2291
Entity
Organization

Contact information

Practice address
2700 INTERNATIONAL BLVD, SUITE A, OAKLAND, CA 94601-1520
(888) 633-2291
Mailing address
2700 INTERNATIONAL BLVD, A, OAKLAND, CA 94601-1520
(888) 633-2291

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5503220001
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA470820
CA
Enumeration date
11/24/2006
Last updated
08/22/2020
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