Organization
BAY PHARMACY, INC.
Active
Other names
Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WARREN JR. R.PH. (PRESIDENT)
(352) 357-4341
Entity
Organization
Contact information
Practice address
701 N BAY STREET, EUSTIS, FL 32726
(352) 357-5485
(352) 357-5505
Mailing address
701 N BAY STREET, EUSTIS, FL 32726
(352) 357-5485
(352) 357-5505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100457300
—
FL
Enumeration date
10/25/2006
Last updated
04/22/2008
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