Organization
BAYSIDE DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MARTIN KAHN RPH (OWNER)
(727) 595-9402
Entity
Organization
Contact information
Practice address
12071 INDIAN ROCKS RD, LARGO, FL 33774
(727) 595-9402
(727) 595-2081
Mailing address
12071 INDIAN ROCKS RD, LARGO, FL 33774
(727) 595-9402
(727) 595-2081
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH1792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045031
NABP
—
Enumeration date
09/20/2006
Last updated
02/21/2008
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