Organization
BAYSIDE PHARMACY LIMITED PARTNERSHIP
Active
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
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