Bonifacio G Dimayacyac

NPI #1063795391 in Lancaster, California

Provider Information

NPI Number: 1063795391
Entity Type: Individual
Name: Bonifacio G Dimayacyac
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 22, 2011
Last Updated: Sep 22, 2011

Practice Location

Address: 1834 W AVENUE J
City: Lancaster
State: California
ZIP Code: 93534-2745
Phone: (661) 723-0363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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