Organization
BAY STREET PHARMACY INC
Active
Organization
BAY STREET PHARMACY INC
Active
Other names
BAY STREET PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA TOLLE RPH (PRESIDENT)
(772) 589-2043
Entity
Organization
Contact information
Practice address
7746 BAY ST, SEBASTIAN, FL 32958-3427
(772) 589-2043
(772) 388-2628
Mailing address
7746 BAY STREET, SEBASTIAN, FL 32958
(772) 589-2043
(772) 388-2628
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH8549
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105269100
—
FL
05
—
105269103
—
FL
01
—
2007320
PK
—
Enumeration date
06/20/2005
Last updated
07/29/2022
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