| NPI | 1588851968 |
|---|---|
| Doing Business As | BAYVIEW PLAZA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STREDLER President 757-435-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201004173) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2012-05-18 |