Bayshore Pharmacy
LBN: Bayshore Pharmacy
Bayshore Pharmacy is an health care organization with primary practice located at 1026 Sw Bayshore Blvd , Port Saint Lucie FL 34983-2400. 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.
Bayshore Pharmacy can be contacted via phone (772) 344-0410, or through Serrago, Keith via phone (772) 344-0410.
Contact Information
Primary practice address
1026 Sw Bayshore Blvd
Port Saint Lucie FL 34983-2400
Phone: (772) 344-0410
Fax: (772) 344-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH26774 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750723722 |
|---|---|
| LBN Legal business name | Bayshore Pharmacy |
| DBA Doing business as | Bayshore Pharmacy |
| Authorized official | Serrago, Keith |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2013 |
| Last updated | Mar 9th, 2017 - about 8 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 | 1750723722 | NPPES |
| Florida | MEDICAID | 101097200 | |
| Florida | Other | 2140977 |
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