Organization
BAYSIDE PHARMACY LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIMAL SHAH (OWNER)
(248) 566-0116
Entity
Organization
Contact information
Practice address
300 STATE ST STE 102, ERIE, PA 16507-1428
(814) 351-0026
Mailing address
300 STATE ST STE 102, ERIE, PA 16507-1428
(814) 351-0026
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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