Provider Demographics
NPI:1619539616
Name:Q BAY INC
Entity Type:Organization
Organization Name:Q BAY INC
Other - Org Name:HOSPITAL DR VALLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ANANDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BALAKRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-423-2098
Mailing Address - Street 1:7600 HOSPITAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5406
Mailing Address - Country:US
Mailing Address - Phone:916-423-2098
Mailing Address - Fax:916-689-3660
Practice Address - Street 1:7600 HOSPITAL DR STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5406
Practice Address - Country:US
Practice Address - Phone:916-423-2098
Practice Address - Fax:916-689-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy