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Contact Information

BAYVIEW PHARMACY INC
6510 ODONNELL ST
BALTIMORE, MD21224-4643
 Phone: 410-633-5050
 Fax: 410-633-5188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BAYVIEW PHARMACY INC

NPI Number 1124106638
LBN Legal business name BAYVIEW PHARMACY INC
Authorized official MICHAEL SOURANIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 11/18/2016 - About 10 years ago
Identifiers
MD License # P01845
MD Medicaid 325242600
MD Medicaid 325838600
Other 2034871 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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