Bay Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Eustis, FL
NPI 1295829638 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1295829638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH 15795 (FL)
- Legal business name
- BAY PHARMACY, INC.
- Practice address
- 2 E Magnolia Ave
Eustis, FL 32726-3417 - Phone
- (352) 357-4341
- Fax
- (352) 357-5107
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. George W Warren Jr., R.PH.
- Title
- President
- Phone
- (352) 357-4341
Corporate family (same tax ID) 4
Practitioners 4
-
Lee R Jenkins, PHARM. D.
-
Michele Renee Lingo, CPHT
-
John R. Renick, PHARM. D.
-
George Warren Jr., R.PH.
National Provider Directory
- Tax ID family
- Lake Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH 15795 | FL | Yes |
Addresses
Primary practice location
2 E Magnolia Ave
Eustis, FL 32726-3417
Mailing address
2 E Magnolia Ave
Eustis, FL 32726-3417
Phone (352) 357-4341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1082572 | Other | FL | NCPDP |
| 106292100 | Medicaid | FL |
Other names
- Lake Pharmacy- Tavares
Other providers in Eustis, FL
- Nicole Elaine Batey
- Jaclyn Battin
- Bay Pharmacy, Inc
- Bay Pharmacy, Inc.
- Bay Pharmacy, Inc.
- Bay Pharmacy, Inc.
- Bay Pharmacy, Inc.
- Cheryl Baylis
- Bayview Center, LLC
- Beautiful Angels LLC
All providers in Eustis, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.