Keeler, Barry Lynn

Keeler, Barry Lynn is an sole proprietor health care provider with primary practice located at Dominican Plaza Pharmacy 1595 Soquel Dr Suite 120, Santa Cruz CA 95065. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Keeler, Barry Lynn can be contacted via phone (831) 462-7726.

Contact Information

Primary practice address
Dominican Plaza Pharmacy 1595 Soquel Dr Suite 120 Santa Cruz CA 95065
Phone: (831) 462-7726
Fax: (831) 462-7615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 29416 California

Profile Details

NPI number 1215410188
LBN Legal business name Keeler, Barry Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215410188 NPPES
California Other 29416 CALIFORNIA STATE BOARD OF PHARMACY

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