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Organization
BAY TOWN PHARMACY LLC
Active
Organization
BAY TOWN PHARMACY LLC
Active
Other names
Favre's Baytown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KARIE BOYD (PHARMACY OPERATIONS MAMANGER)
(601) 630-6730
Entity
Organization
Contact information
Practice address
620 BLUE MEADOW RD, BAY SAINT LOUIS, MS 39520-2834
(601) 326-5378
Mailing address
610 BLUE MEADOW RD SUITE 10A, BAY SAINT LOUIS, MS 39520
(601) 326-5378
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156132
PK
—
Enumeration date
11/20/2015
Last updated
02/01/2016
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