Organization
BAYVIEW PLAZA PHARMACY INC
Active
Other names
BAYVIEW PLAZA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STREDLER (PRESIDENT)
(757) 435-6846
Entity
Organization
Contact information
Practice address
7930 CHESAPEAKE BLVD, NORFOLK, VA 23518-3846
(757) 605-3382
(757) 605-3386
Mailing address
7930 CHESAPEAKE BLVD, NORFOLK, VA 23518-3846
(757) 605-3382
(757) 605-3386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0201004173
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4840458
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2007
Last updated
05/18/2012
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