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KENNETH BEAR PHARMACIST
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1235686163
Individual Registrant: KENNETH BEAR PHARMACIST
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
133 15TH ST PACIFIC GROVE, CA 93950-2746 US
Tel: 831-373-1225 Fax: --
Tel: 831-373-1225 Fax: --
Contact information for business:
17 RALSTON DR MONTEREY, CA 93940-6811 US
Tel: 831-645-9193 Fax: --
Tel: 831-645-9193 Fax: --
Registration Information:
NPI: 1235686163
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CA | 42932 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
