Stephanie Anh Ly | Fairfield, CA • PECOS Search

Stephanie Anh Ly

Pharmacist

Pharmacy Service Providers

101 Bodin Cir, Fairfield, CA 94535-1809

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Anh Ly 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 yesterday at 11:10 AM.

Profile Details

Provider ID
1720579337
Provider Type
Individual
Full Name
Ly, Stephanie Anh
Gender
Female

Sole Proprietor
No
Enumeration Date
5/21/2018
Last Updated
4/21/2025

Contact Information

Practice Location

101 Bodin Cir, Fairfield, CA 94535-1809

Unlisted Fax

Mailing Location

101 Bodin Cir, Fairfield, CA 94535-1809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 77760 California