| NPI | 1942449822 |
|---|---|
| Doing Business As | BAYRIDGE SPECIALTY PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | IGOR GRABOV Managing Member 718-745-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029206) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-03-17 |