Bayside Lakes Family Pharmacy
LBN: Bayside Lakes Pharmacy Llc
Bayside Lakes Family Pharmacy is an health care organization with primary practice located at 1850 Eldron Blvd Se Ste 7 , Palm Bay FL 32909-6870. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bayside Lakes Pharmacy Llc can be contacted via phone (321) 308-0303, or through Macdonald, Susan Elizabeth via phone (321) 308-0303.
Contact Information
Primary practice address
1850 Eldron Blvd Se Ste 7
Palm Bay FL 32909-6870
Phone: (321) 308-0303
Fax: (321) 308-0310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH31554 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1932686615 |
|---|---|
| LBN Legal business name | Bayside Lakes Pharmacy Llc |
| DBA Doing business as | Bayside Lakes Family Pharmacy |
| Authorized official | Macdonald, Susan Elizabeth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2018 |
| Last updated | Dec 21st, 2018 - about 6 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 | 1932686615 | NPPES |
| Florida | Other | PH31554 | BOARD OF PHARMACY |
| Florida | MEDICAID | 100868600 | BOARD OF PHARMACY |
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