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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215410188 | NPPES |
| California | Other | 29416 | CALIFORNIA STATE BOARD OF PHARMACY |
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