| NPI | 1295746873 |
|---|---|
| Doing Business As | BACON EAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SEAN WEEKES PIC 925-687-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53596) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-07-02 |