Individual
MR. BAU TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
629 COOPER RD, OXNARD, CA 93030-5427
(805) 483-1121
(805) 483-1121
Mailing address
629 COOPER RD, OXNARD, CA 93030-5427
(805) 483-1121
(805) 483-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH40948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526662
WELLCARE HEALTH PLAN
CA
01
—
0526662
NCPDP
—
05
—
PHA412250
—
CA
01
—
PHY41225
STATE LICENSE
CA
Enumeration date
09/22/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us