NPI | 1205115656 |
---|---|
Doing Business As | BAY LIFE PHARMACY II |
Entity Type | Organization |
Authorized Contact | MELISSA ALBRECHT Authorized Agent 727-560-7116 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25690) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2011-08-16 |
Last Update Date | 2022-09-13 |