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General NPI Number Information
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NPI Number | 1295145605
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Entity Type | Organization
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Legal Business Name | BAYSHORE HEALTH MART, INC.
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 3315 BURKE RD STE 100
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City | PASADENA
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State | TX
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Zip | 77504-1873
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Country | US
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Telephone | 833-322-9746
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Fax | 833-322-9746
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Provider Business Mailing Address
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Address Line | 3315 BURKE RD STE 100
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City | PASADENA
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State | TX
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Zip | 77504-1873
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Country | US
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Telephone | 281-984-5000
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MR. PIYUSH MESURIA
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Credential |
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Telephone | 833-322-9746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29025
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License Number State | TX
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