MEDICARE: BAY RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1598331449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY RX INC

Provider Business Mailing Address
First Line	:	1661 BURDETTE DR STE AB
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1665
Country	:	US
Telephone Number	:	408-622-8531
Fax Number	:	408-622-8621

Provider Business Practice Location Address
First Line	:	1661 BURDETTE DR STE AB
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1665
Country	:	US
Telephone Number	:	408-622-8531
Fax Number	:	408-622-8621

Authorized Official
Title or Position	:	OWNER
Name	:	AN NGUYEN
Credential	:
Telephone Number	:	669-400-1005

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	06/01/2021

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Directions to “BAY RX INC ” Practice Location

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