Organization
BAY PHARMACY, INC.
Active
Other names
Lake Pharmacy- Tavares
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE W WARREN JR. R.PH. (PRESIDENT)
(352) 357-4341
Entity
Organization
Contact information
Practice address
2 E MAGNOLIA AVE, EUSTIS, FL 32726-3417
(352) 357-4341
(352) 357-5107
Mailing address
2 E MAGNOLIA AVE, EUSTIS, FL 32726-3417
(352) 357-4341
(352) 357-5107
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 15795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106292100
—
FL
01
—
1082572
NCPDP
FL
Enumeration date
10/02/2006
Last updated
03/07/2023
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