Organization
BAYSHORE PHARMACY INC
Active
Other names
BAYSHORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HAIJA RPH (PRESIDENT)
(832) 606-2583
Entity
Organization
Contact information
Practice address
3315 BURKE RD STE 201, PASADENA, TX 77504-1823
(713) 944-8893
(713) 944-8890
Mailing address
3315 BURKE RD STE 201, PASADENA, TX 77504-1823
(832) 606-2583
(713) 944-8890
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145607
—
TX
01
—
2098839
PK
—
Enumeration date
07/14/2006
Last updated
01/05/2022
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