Provider Demographics
NPI:1912570904
Name:BAY PHARMACIES INC
Entity Type:Organization
Organization Name:BAY PHARMACIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAE ANN
Authorized Official - Middle Name:JOSEPHINE
Authorized Official - Last Name:GOSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-473-4733
Mailing Address - Street 1:1437 EGG HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-1239
Mailing Address - Country:US
Mailing Address - Phone:920-746-2158
Mailing Address - Fax:920-746-2138
Practice Address - Street 1:2476 S ONEIDA ST STE 120
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5288
Practice Address - Country:US
Practice Address - Phone:920-965-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAY PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies