| NPI | 1356709737 |
|---|---|
| Doing Business As | BAYSIDE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | CHORONG LEE President 718-224-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034321) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2017-04-17 |