| NPI | 1932686615 |
|---|---|
| Doing Business As | BAYSIDE LAKES FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH MACDONALD Owner 321-308-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31554) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-12-21 |