NPI | 1275510208 |
---|---|
Doing Business As | BAYA PHARMACY WEST |
Entity Type | Organization |
Authorized Contact | CARL L ALLISON Owner, President 386-719-9952 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH8820) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2005-12-30 |
Last Update Date | 2016-08-15 |