Organization
BAYVIEW PHARMACY INC
Active
Other names
Riverside Sav-Mor Pharmacy #106
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A HADDIX (PRESIDENT)
(734) 776-2949
Entity
Organization
Contact information
Practice address
2920 W JEFFERSON AVE, TRENTON, MI 48183-2904
(734) 676-3784
(734) 676-3793
Mailing address
2920 W JEFFERSON AVE, TRENTON, MI 48183-2904
(734) 676-3784
(734) 676-3793
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010186
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142121
PK
—
Enumeration date
09/19/2013
Last updated
11/05/2013
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