Organization Name: | BAYVIEW PLAZA PHARMACY INC |
NPI Number: | 1083691836 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL EUGENE STREDLER (PRESIDENT) |
Mailing Address: | 7924 Chesapeake Blvd Ste A Norfolk |
State: | VA US |
Postal Code: | 235183801 |
Phone Number: | 7575837466 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0201001900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |