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LALYN BONIFACIO

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1346775129

Individual Registrant:
 LALYN  BONIFACIO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
901 EL CAMINO REAL  SAN BRUNO, CA 94066-3009 US
Tel: 650-742-1388  Fax: --

Contact information for business:
901 EL CAMINO REAL  SAN BRUNO, CA 94066-3009 US
Tel: --  Fax: --

Registration Information:
NPI: 1346775129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH 43643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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