Organization
BAYVIEW COMMUNITY PHARMACY LLC
Active
Other names
Bayview Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KELLEY (PRESIDENT/OWNER)
(757) 390-5287
Entity
Organization
Contact information
Practice address
1846 E LITTLE CREEK RD, NORFOLK, VA 23518-4204
(757) 383-6636
Mailing address
1846 E LITTLE CREEK RD, NORFOLK, VA 23518-4204
(757) 383-6636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157912
PK
—
Enumeration date
01/12/2016
Last updated
02/05/2016
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