IndividualActive
Bryan Cao
NPI 1710756200 · Pharmacy Technician · Peabody, MA
Provider details
- NPI number
- 1710756200
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT8054 (MA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2 Centennial Dr
Peabody, MA 01960-7911
Phone: (978) 532-1600
Fax: (978) 532-1600
Approximate (ZIP-level) locationGet directions
Mailing address
80 Verona St
Lynn, MA 01904-2336
Registry dates
- Enumerated
- 2023-12-26
- Last updated
- 2023-12-26
- Certified
- 2023-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.