Provider Demographics
NPI:1932200813
Name:BATZ, FORREST (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FORREST
Middle Name:
Last Name:BATZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4473 HILLSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1026
Mailing Address - Country:US
Mailing Address - Phone:510-538-9370
Mailing Address - Fax:
Practice Address - Street 1:4473 HILLSBOROUGH DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-1026
Practice Address - Country:US
Practice Address - Phone:510-538-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 43006183500000X
AZRPH 9457183500000X
HIPH 2472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist