| NPI | 1548835242 |
|---|---|
| Doing Business As | BAYSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHIRANJIVI B JANNU Pharmacy Director 813-395-6125 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-05-17 |