Organization
NORTHBAY HEALTHCARE GROUP
Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
Northbay Specialty Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
LORIANN EICHENBERGER (SENIOR DIRECTOR, REVENUE CYCLE MGMT)
(707) 646-3400
Entity
Organization
Contact information
Practice address
1020 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 624-8066
(707) 624-7360
Mailing address
1020 NUT TREE RD, VACAVILLE, CA 95687-4100
(707) 624-8066
(707) 624-7360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54400
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5663477
—
CA
Enumeration date
06/14/2017
Last updated
07/21/2022
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