Individual
BEVERLY TAPIA BONGALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 GEARY BLVD, SAN FRANCISCO, CA 94115-3358
(415) 833-9701
Mailing address
2425 GEARY BLVD, SAN FRANCISCO, CA 94115-3358
(415) 833-9701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64980
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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