Organization
BAYVIEW PHARMACY INC
Active
Other names
BAYVIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOURANIS (OWNER)
(410) 633-5050
Entity
Organization
Contact information
Practice address
6510 ODONNELL ST, BALTIMORE, MD 21224-4643
(410) 633-5050
(410) 633-5188
Mailing address
6510 ODONNELL ST, BALTIMORE, MD 21224-4643
(410) 633-5050
(410) 633-5188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01845
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034871
PK
—
05
—
325242600
—
MD
05
—
325838600
—
MD
Enumeration date
11/01/2006
Last updated
11/18/2016
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