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JENNIFER BAE

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1679817894

Individual Registrant:
 JENNIFER  BAE 
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: --

Contact information for business:
4775 FRAZEE RD APT 1211 OCEANSIDE, CA 92057-6841 US
Tel: --  Fax: --

Registration Information:
NPI: 1679817894
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
COPHA.0019634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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