| NPI | 1932565793 |
|---|---|
| Doing Business As | BAYVIEW SRC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADI GELLI President 757-819-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201004685) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2022-07-17 |