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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