| NPI | 1164860946 |
|---|---|
| Doing Business As | NORTHBAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAYA JOMON ANTONY Owner 727-687-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |