Kevin Bumanglag | San Francisco, CA • PECOS Search

Kevin Bumanglag

Pharmacist

Pharmacy Service Providers

500 Parnassus Ave Rm Mu-145, San Francisco, CA 94143-2203

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Bumanglag does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407632490
Provider Type
Individual
Full Name
Bumanglag, Kevin
Gender
Male

Sole Proprietor
No
Enumeration Date
9/5/2023
Last Updated
9/5/2023

Contact Information

Practice Location

500 Parnassus Ave Rm Mu-145, San Francisco, CA 94143-2203

Unlisted Fax

Mailing Location

2125 Pettigrew Ct, Stockton, CA 95210-6771

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 88398 California