Bascom Pharmacy Llc in San Jose - Pharmacy
Bascom Pharmacy Llc - NPI 1457463374
Bascom Pharmacy Llc is a Pharmacy in San Jose, California. Bascom Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Bascom Pharmacy Llc is 1457463374. The last update date is 2017-04-11.
Bascom Pharmacy Llc's current location address is 105 N Bascom Ave, San Jose, California. You can contact this provider via phone number 4089956020 and fax number 4089955320. The mailing address for Bascom Pharmacy Llc is 105 N Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bascom Pharmacy Llc |
|---|---|
| Address | 105 N Bascom Ave, San Jose, California |
| Phone Number | 4089956020 |
| Fax Number | 4089955320 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Fuller Clive |
| Credentials | PHARMD |
| Telephone Number | 4089956020 |
NPI Number Detail
| NPI Number | 1457463374 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2017-04-11 |
Provider Mailing Address Detail
| Address | 105 N Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951281811 |
| Phone Number | 4089956020 |
| Fax Number | 4089955320 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHA471470 | CA | -- | |
| 2113723 | PK | ||
| 5993930001 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bascom Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Bascom Pharmacy Llc has been issued the NPI (National Provider Identifier) 1457463374, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bascom Pharmacy Llc's facilities are situated?
The facilities of Bascom Pharmacy Llc are physically located at the following address: 105 N Bascom Ave, San Jose, CA, 951281811.
What is Bascom Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bascom Pharmacy Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457463374 to Bascom Pharmacy Llc?
The Centers for Medicare & Medicaid Services originally issued the 1457463374 to Bascom Pharmacy Llc on 2006-08-31.
As of what date were the details related to Bascom Pharmacy Llc most recently updated or revised?
The information pertaining to Bascom Pharmacy Llc, including its address, specialty, and other relevant details, was last updated or revised on 2017-04-11.
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