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BOHAN GU PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1891245783

Individual Registrant:
 BOHAN  GU PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1375 SYCAMORE AVE APARTMENT 316 HERCULES, CA 94547-5509 US
Tel: 608-692-3357  Fax: --

Contact information for business:
3655 ALHAMBRA AVE  MARTINEZ, CA 94553-3912 US
Tel: 925-372-0337  Fax: --

Registration Information:
NPI: 1891245783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA75322

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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