| NPI | 1518102672 | 
|---|---|
| Doing Business As | BAYRIDGE RX | 
| Entity Type | Organization | 
| Authorized Contact | SUBAN CHUNG Sp 718-680-2229  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029288)  | 
| Additional Taxonomies | 333600000X Pharmacy | 
| Enumeration Date | 2008-12-03 | 
| Last Update Date | 2018-07-19 |