# BAY PHARMACIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAY PHARMACY HEALTH MART
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639210362
- **Authorized official:** TANAPONG CHAIRIN RPH (SEC/TREAS)
- **Authorized official phone:** (920) 746-2977

## Contact information

- **Practice address:** 1300 EGG HARBOR RD, STURGEON BAY, WI 54235-1277
- **Practice address phone:** (920) 746-2977
- **Practice address fax:** (920) 746-2968
- **Mailing address:** 1300 EGG HARBOR RD, STURGEON BAY, WI 54235-1277
- **Mailing address phone:** (920) 746-2977
- **Mailing address fax:** (920) 746-2968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6547-042 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 06/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2114324 | PK | — |
| 05 | — | 33127300 | — | WI |