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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
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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