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JENNIFER BAE
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1679817894
Individual Registrant: JENNIFER BAE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
H100 SANTA MARGARITA RD (ATTN: CODE 00QM) NAVAL HOSPITAL CAMP PENDLETON CAMP PENDLETON, CA 92055-5191 US
Tel: 760-725-3278 Fax: --
Tel: 760-725-3278 Fax: --
Contact information for business:
4775 FRAZEE RD APT 1211 OCEANSIDE, CA 92057-6841 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1679817894
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CO | PHA.0019634 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
