Provider Demographics
NPI:1104472166
Name:BY THE BAY PHARMACY AND WELLNESS
Entity type:Organization
Organization Name:BY THE BAY PHARMACY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEFERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:251-747-1253
Mailing Address - Street 1:28720 US HIGHWAY 98 STE 2
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7268
Mailing Address - Country:US
Mailing Address - Phone:251-206-8999
Mailing Address - Fax:251-214-0420
Practice Address - Street 1:28720 US HIGHWAY 98 STE 2
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7268
Practice Address - Country:US
Practice Address - Phone:251-206-8999
Practice Address - Fax:251-214-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy