| NPI | 1750723722 |
|---|---|
| Doing Business As | BAYSHORE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEITH SERRAGO Pharmacist/Chief 772-344-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26774) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2017-03-09 |