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Organization

NORTHBAY MEDICAL CENTER PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN SEO (DIRECTOR OF PHARMACY)
(707) 646-4290
Entity
Organization

Contact information

Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-4290
(707) 646-4264
Mailing address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-4290
(707) 646-4264

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
91000196
CA

Other

Enumeration date
04/11/2013
Last updated
12/16/2019
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