Organization
BAY PHARMACY INC
Active
Other names
BAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE JEFFEARS (OWNER)
(770) 957-0040
Entity
Organization
Contact information
Practice address
3340 HIGHWAY 155, LOCUST GROVE, GA 30248-3513
(770) 957-0040
(770) 957-0042
Mailing address
PO BOX 1028, MCDONOUGH, GA 30253-1028
(770) 957-0040
(770) 957-0042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009432
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016891
PK
—
Enumeration date
11/02/2007
Last updated
03/31/2016
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