Individual
DR. ANA M BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
115 LAKE BLVD E, REDDING, CA 96003-2913
(530) 229-1519
Mailing address
115 LAKE BLVD E, REDDING, CA 96003-2913
(530) 229-1519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13580
NE
183500000X
Pharmacist
Primary
64659
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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