Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bao G Ly, RPH

Individual provider Pharmacist · NPI 1144805508

Bao G Ly, RPH is a Pharmacist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California and Pennsylvania.

Licensed in
CA, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2336 Mirage Ct
Santa Rosa, CA 95403-7611
Phone: (707) 934-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH84130 (CA)
Pharmacist Taxonomy 183500000X · Licence RP455496 (PA)

Record details

NPI number1144805508
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

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