Organization
BAYSHORE PHARMACY LLC
Active
Other names
Regal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ KANTAMNENI (MANAGING MEMBER)
(718) 543-6868
Entity
Organization
Contact information
Practice address
558 W 235TH ST, BRONX, NY 10463-1709
(718) 543-6868
(718) 543-1957
Mailing address
558 W 235TH ST, BRONX, NY 10463-1709
(718) 543-6868
(718) 543-1957
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030418
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129015
PK
—
05
—
3273838
—
NY
Enumeration date
08/25/2010
Last updated
02/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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