Bay Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Locust Grove, GA
NPI 1851570147 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1851570147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE009432 (GA)
- Legal business name
- BAY PHARMACY INC
- Practice address
- 3340 Highway 155
Locust Grove, GA 30248-3513 - Phone
- (770) 957-0040
- Fax
- (770) 957-0042
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronnie Jeffears
- Title
- Owner
- Phone
- (770) 957-0040
National Provider Directory
Locations
3340 Highway 155
Locust Grove, GA 30248
Phone (770) 957-0040
3338 Highway 155
Locust Grove, GA 30248
Phone (770) 957-0040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE009432 | GA | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3340 Highway 155
Locust Grove, GA 30248-3513
Mailing address
PO Box 1028
McDonough, GA 30253-1028
Phone (770) 957-0040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016891 | Other | PK |
Other names
- BAY PHARMACY
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All providers in Locust Grove, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. 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.