Organization
BAYSIDE PHARMACY INC
Active
Other names
Bayside Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CHORONG LEE (PRESIDENT)
(718) 224-1234
Entity
Organization
Contact information
Practice address
22136 HORACE HARDING EXPY, OAKLAND GARDENS, NY 11364-2333
(718) 224-1234
(718) 224-7433
Mailing address
22136 HORACE HARDING EXPY, OAKLAND GARDENS, NY 11364-2333
(718) 224-1234
(718) 224-7433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356709737
—
NY
01
—
2157862
PK
—
Enumeration date
02/01/2016
Last updated
07/24/2025
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