| NPI | 1457463374 |
|---|---|
| Doing Business As | BASCOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLIVE FULLER Manager 408-995-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 47147) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-11 |