Organization
BAYSIDE PHARMACY LIMITED PARTNERSHIP
Active
Other names
Bayside Pharmacy and Physician Supply
Organization subpart
No
Provider details
NPI number
Authorized official
HIMAL SHAH (AUTHORIZED OFFICIAL/OWNER)
(231) 580-1601
Entity
Organization
Contact information
Practice address
300 STATE ST, SUITE 102, ERIE, PA 16507
(814) 351-0026
(814) 351-0027
Mailing address
300 STATE ST, SUITE 102, ERIE, PA 16507
(814) 351-0026
(814) 351-0027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP411870L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103854880-0001
—
PA
01
—
3954547
NAT'L ASSN BOARD PHARM
PA
Enumeration date
07/08/2005
Last updated
05/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us