Bayshore Pharmacy

LBN: Bayshore Pharmacy
Bayshore Pharmacy is an health care organization with primary practice located at 1026 Sw Bayshore Blvd , Port Saint Lucie FL 34983-2400. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bayshore Pharmacy can be contacted via phone (772) 344-0410, or through Serrago, Keith via phone (772) 344-0410.

Contact Information

Primary practice address
1026 Sw Bayshore Blvd Port Saint Lucie FL 34983-2400
Phone: (772) 344-0410
Fax: (772) 344-0409
Website:
Map and Directions
Authorized official contact:
Name: Serrago, Keith
Phone: (772) 344-0410

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26774 Florida
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1750723722
LBN Legal business name Bayshore Pharmacy
DBA Doing business as Bayshore Pharmacy
Authorized official Serrago, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2013
Last updated Mar 9th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750723722 NPPES
Florida MEDICAID 101097200
Florida Other 2140977

Popular Providers