Organization
BAY PHARMACIES INC
Active
Parent organization
BAY PHARMACIES INC
Other names
Bayside Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAY PHARMACIES INC
Authorized official
MR. ERIC HAGEN (PRESIDENT/COO)
(920) 746-2158
Entity
Organization
Contact information
Practice address
1717 E CALUMET ST UNIT C, APPLETON, WI 54915-4079
(920) 746-2158
(920) 746-2138
Mailing address
1300 EGG HARBOR RD STE 112, STURGEON BAY, WI 54235-1248
(920) 746-2158
(920) 746-2138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075677
—
WI
Enumeration date
10/03/2018
Last updated
10/03/2018
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