| NPI | 1639210362 |
|---|---|
| Doing Business As | BAY PHARMACY HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | TANAPONG CHAIRIN Sec/Treas 920-746-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 6547-042) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-06-23 |