NPI 1023599321

Bayside Pharmacy LLC

Organisation Community/Retail Pharmacy Winter Haven, FL

Practice location

Address: 205 1st St S STE 106, Winter Haven, FL 33880-3266
Phone: (863) 377-4774
Fax: (863) 377-4744

Authorised official

Name: Chiranjivi B Jannu
Title: Director of Pharmacy
Phone: (646) 673-0044

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH31592 (FL)

Other Pharmacy providers in Florida →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1023599321
Entity type: Organization
NPI issued: 24 Aug 2018
Record last updated: 12 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.