Provider Demographics
NPI:1235433921
Name:BAYHEALTH MEDICAL CENTER INC
Entity Type:Organization
Organization Name:BAYHEALTH MEDICAL CENTER INC
Other - Org Name:BAYHEALTH COMMUNITY PHARMACY SUSSEX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULATORY PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:302-744-6617
Mailing Address - Street 1:100 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-4364
Mailing Address - Country:US
Mailing Address - Phone:302-430-5150
Mailing Address - Fax:302-430-5155
Practice Address - Street 1:100 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4364
Practice Address - Country:US
Practice Address - Phone:302-430-5150
Practice Address - Fax:302-430-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy