Organization
BAYVIEW DISCOUNT PHARMACY
Active
Other names
Bayview SRC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADI GELLI (PRESIDENT)
(757) 819-4636
Entity
Organization
Contact information
Practice address
710 E LITTLE CREEK RD, NORFOLK, VA 23518-3710
(757) 819-4636
(757) 333-7264
Mailing address
710 E LITTLE CREEK RD, NORFOLK, VA 23518-3710
(757) 819-4636
(757) 333-7264
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004685
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157333
PK
—
Enumeration date
01/11/2016
Last updated
07/17/2022
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