NPI | 1407044035 |
---|---|
Doing Business As | BAY LIFE PHARMACY I |
Entity Type | Organization |
Authorized Contact | JULIAN MATHEW Owner/President 727-581-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH22395) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-10-09 |
Last Update Date | 2025-08-28 |