Organization
BGC PHARMACY INC
Active
Other names
BOBS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COLE (OWNER)
(209) 823-2174
Entity
Organization
Contact information
Practice address
629 E YOSEMITE AVE, MANTECA, CA 95336-5801
(209) 823-2174
(209) 823-2176
Mailing address
629 E YOSEMITE AVE, MANTECA, CA 95336
(209) 823-2174
(209) 823-2176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996740
PK
—
Enumeration date
02/27/2007
Last updated
09/19/2025
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