Bay Street Pharmacy Inc
LBN: Bay Street Pharmacy Inc
Bay Street Pharmacy Inc is an health care organization with primary practice located at 7746 Bay St , Sebastian FL 32958-3427. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bay Street Pharmacy Inc can be contacted via phone (772) 589-2043, or through Tolle, Theresa via phone (772) 589-2043.
Contact Information
Primary practice address
7746 Bay St
Sebastian FL 32958-3427
Phone: (772) 589-2043
Fax: (772) 388-2628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH8549 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1588669063 |
|---|---|
| LBN Legal business name | Bay Street Pharmacy Inc |
| DBA Doing business as | Bay Street Pharmacy Inc |
| Authorized official | Tolle, Theresa RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 29th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588669063 | NPPES |
| Other | 2007320 | PK | |
| MEDICAID | 105269100 | PK | |
| MEDICAID | 105269103 | PK |
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