Jerry Bales is a Pharmacist in South San Francisco, California. Jerry Bales practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerry Bales is 1316136195. The last update date is 2013-04-03.
Jerry Bales's current location address is 749 Cottonwood Ave, South San Francisco, California. You can contact this provider via phone number 4152442658. The mailing address for Jerry Bales is 749 Cottonwood Ave, South San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Bales |
|---|---|
| Address | 749 Cottonwood Ave, South San Francisco, California |
| Phone Number | 4152442658 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1316136195 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
| Address | 749 Cottonwood Ave |
|---|---|
| City | South San Francisco |
| State | California (CA) |
| Post Code | 940802526 |
| Phone Number | 4152442658 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 48017 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A198977 | NUID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Bales by the Centers for Medicare & Medicaid Services?
The Jerry Bales has been issued the NPI (National Provider Identifier) 1316136195, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry Bales?
The Jerry Bales is physically situated at 749 Cottonwood Ave, in the city of South San Francisco, state of CA, with the postal code 940802526.
What is the area of specialization for Jerry Bales, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Bales is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316136195 to Jerry Bales?
The Centers for Medicare & Medicaid Services originally issued the 1316136195 to Jerry Bales on 2007-10-17.
When was the Jerry Bales's information last updated?
The Jerry Bales's information was last updated on 2013-04-03.
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