Healthcare Provider Details

I. General information

NPI: 1639262280
Provider Name (Legal Business Name): BAY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EAST MAGNOLIA AVENUE
EUSTIS FL
32726
US

IV. Provider business mailing address

2 E MAGNOLIA AVE
EUSTIS FL
32726-3417
US

V. Phone/Fax

Practice location:
  • Phone: 352-357-4341
  • Fax: 352-357-5107
Mailing address:
  • Phone: 352-357-4341
  • Fax: 352-357-5107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH 226
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE W. WARREN
Title or Position: PRESIDENT
Credential: RPH
Phone: 352-357-4341