Organization
BAYARD PHARMACY LLC
Active
Other names
Bayard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK MABUS (OWNER/PHARMACY MANAGER)
(302) 632-5149
Entity
Organization
Contact information
Practice address
202 W LOOCKERMAN ST, DOVER, DE 19904-3248
(302) 724-4497
(302) 526-4835
Mailing address
202 W LOOCKERMAN ST, DOVER, DE 19904-3248
(302) 724-4497
(302) 526-4835
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000944
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135897
PK
—
Enumeration date
07/01/2012
Last updated
01/13/2017
About Stedi
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