Organization
BAYSIDE PHARMACY LLC
Active
Organization
BAYSIDE PHARMACY LLC
Active
Other names
BUTTERFLY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CHIRANJIVI B JANNU R.PH (DIRECTOR OF PHARMACY)
(646) 673-0044
Entity
Organization
Contact information
Practice address
205 1ST ST S STE 106, WINTER HAVEN, FL 33880-3266
(863) 377-4774
(863) 377-4744
Mailing address
205 1ST ST S STE 106, WINTER HAVEN, FL 33880-3266
(863) 377-4774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31592
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
08/24/2018
Last updated
03/12/2025
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