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

Bao Vy Thi Ly

Individual provider Pharmacist · NPI 1285479618

Bao Vy Thi Ly is a Pharmacist in Lake City, Florida. Works from 2 locations. Licensed in Florida and Virginia.

Licensed in
FL, VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2233 W US Highway 90
Lake City, FL 32055-4761
Phone: (386) 752-8090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5999 Normandy Blvd, Jacksonville, FL 32205-6265 — (904) 786-2148

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS67516 (FL)
Pharmacist Taxonomy 183500000X · Licence 0202222077 (VA)

Record details

NPI number1285479618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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