Provider Demographics
NPI:1518963453
Name:BANDY, VERONICA TOVAR (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:TOVAR
Last Name:BANDY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4978 TIMEPIECE CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2042
Mailing Address - Country:US
Mailing Address - Phone:209-957-3946
Mailing Address - Fax:209-957-3946
Practice Address - Street 1:THOMAS J LONG SCHOOL OF PHARMACY & HEALTH SCIENCES
Practice Address - Street 2:751 BROOKSIDE ROAD
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95211
Practice Address - Country:US
Practice Address - Phone:209-946-2363
Practice Address - Fax:209-946-2410
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA51736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist