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General NPI Number Information
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NPI Number | 1861452377
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Entity Type | Organization
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Legal Business Name | BAYVIEW PLAZA PHARMACY, INC.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2268 EXECUTIVE DR
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City | HAMPTON
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State | VA
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Zip | 23666-2430
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Country | US
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Telephone | 757-827-1938
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Fax |
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Provider Business Mailing Address
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Address Line | 7924 CHESAPEAKE BLVD STE A
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City | NORFOLK
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State | VA
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Zip | 23518-3801
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Country | US
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Telephone | 757-583-7466
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. PAUL ST. PIERRE
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Credential |
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Telephone | 757-827-1938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0201002118
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License Number State | VA
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