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DR. PANATHDA VICTORIA BAYRASY PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1629559133

Individual Registrant:
DR. PANATHDA VICTORIA BAYRASY PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1375 UNIVERSITY AVENUE  HEALDSBURG, CA 95448 US
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: --

Registration Information:
NPI: 1629559133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CA78785

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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