Individual provider · Type 1 NPI

Bao G. Ly, RPH

Pharmacist · Santa Rosa, CA

NPI number 1144805508 Active

Practice location

2336 Mirage Ct
Santa Rosa, CA 95403-7611

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XRP455496 (PA)
Pharmacist Primary 183500000XRPH84130 (CA)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1144805508

Bao G. Ly, RPH's National Provider Identifier is 1144805508, issued on Mar 16, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 17, 2021.