# BAYVIEW PLAZA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAYVIEW PLAZA PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588851968
- **Authorized official:** MICHAEL STREDLER (PRESIDENT)
- **Authorized official phone:** (757) 435-6846

## Contact information

- **Practice address:** 7930 CHESAPEAKE BLVD, NORFOLK, VA 23518-3846
- **Practice address phone:** (757) 605-3382
- **Practice address fax:** (757) 605-3386
- **Mailing address:** 7930 CHESAPEAKE BLVD, NORFOLK, VA 23518-3846
- **Mailing address phone:** (757) 605-3382
- **Mailing address fax:** (757) 605-3386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 0201004173 | VA | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 05/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4840458 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
