Organization

Bayshore Pharmacy

May also be knows as Bayshore Pharmacy

Community/Retail Pharmacy in Port Saint Lucie, FL(View on Map)

Legal Business Name

Bayshore Pharmacy

Also Known As

Bayshore Pharmacy

NPI Number

1750723722

NPI Type

Organization

Enumeration Date

07/19/2013

Specialties

(Taxonomies)

Code

3336C0003X
3336C0004X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Florida

License Number

PH26774

Contact
Information

Purpose

Mailing
Location

Address

1026 SW BAYSHORE BLVD
1026 SW BAYSHORE BLVD

City

Port Saint Lucie
Port Saint Lucie

State

FL
FL

Postal Code

34983-2400
34983-2400

Country

US
US

Telephone Number

(772) 344-0410
(772) 344-0410

Authorized Official

Name

Keith Serrago

Title or Position

PHARMACIST/CHIEF

Telephone Number

(772) 344-0410

Identifiers

Identifier

101097200
2140977

Identifier State

FL
Unknown

Identifier Issuer

Unknown
PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/09/2017

Provider Address

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