Organization · Type 2 NPI
Bascom Pharmacy LLC
Long Term Care Pharmacy · San Jose, CA
NPI number
1205719978
Active
Practice location
105 N Bascom Ave Ste 101
San Jose, CA 95128-1811
Fax (408) 995-5320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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About NPI 1205719978
Bascom Pharmacy LLC's National Provider Identifier is 1205719978, issued on Jul 29, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in San Jose, CA. The record was last updated on Jul 29, 2025.