Organization
BAY COUNTY HEALTH SYSTEM LLC
Active
Other names
Bay Medical Center Sacred Heart Health System Out-Patient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GRUBBS (CEO)
(850) 747-6909
Entity
Organization
Contact information
Practice address
801 E 6TH ST STE 101, PANAMA CITY, FL 32401-3662
(850) 769-1611
Mailing address
801 E 6TH ST STE 101, PANAMA CITY, FL 32401-3662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH008028
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006295100
—
FL
01
—
1059838
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
11/18/2016
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