Provider Demographics
NPI:1972645877
Name:BAY PHARMACY, INC
Entity Type:Organization
Organization Name:BAY PHARMACY, INC
Other - Org Name:DURABLE MEDICAL SUPPLIES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-357-4341
Mailing Address - Street 1:50 W ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-4047
Mailing Address - Country:US
Mailing Address - Phone:352-483-9612
Mailing Address - Fax:352-589-4011
Practice Address - Street 1:50 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-4047
Practice Address - Country:US
Practice Address - Phone:352-483-9612
Practice Address - Fax:352-589-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies