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DR. PANATHDA VICTORIA BAYRASY PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1629559133
Individual Registrant:DR. PANATHDA VICTORIA BAYRASY PHARMD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1375 UNIVERSITY AVENUE HEALDSBURG, CA 95448 US
Tel: 707-431-6430 Fax: --
Tel: 707-431-6430 Fax: --
Contact information for business:
1010 JENNINGS AVE APT 306 SANTA ROSA, CA 95401-4349 US
Tel: 925-405-2554 Fax: --
Tel: 925-405-2554 Fax: --
Registration Information:
NPI: 1629559133
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 78785 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
