Provider Demographics
NPI:1811319957
Name:BAYVIEW CENTER PHARMACY AND MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:BAYVIEW CENTER PHARMACY AND MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-633-6262
Mailing Address - Street 1:6510 ODONNELL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4643
Mailing Address - Country:US
Mailing Address - Phone:410-633-6262
Mailing Address - Fax:
Practice Address - Street 1:6510 ODONNELL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4643
Practice Address - Country:US
Practice Address - Phone:410-633-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0439333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy