BAO G LY

SANTA ROSA, CA
NPI1144805508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  RPH84130)
Additional Taxonomies183500000X Pharmacist
(Licence: PA  RP455496)
Enumeration Date2021-03-16
Last Update Date2021-03-17
Business Address
BAO G LY RPh
2336 MIRAGE CT
SANTA ROSA, CA 95403-7611
Phone number: 707-934-5378
Mailing Address
BAO G LY RPh
2336 MIRAGE CT
SANTA ROSA, CA 95403-7611
Phone number: 707-934-5378