Provider Demographics
NPI:1053807339
Name:BAYBROOK PHARMACY LLC
Entity type:Organization
Organization Name:BAYBROOK PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-385-5137
Mailing Address - Street 1:814 HONEA EGYPT RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3864
Mailing Address - Country:US
Mailing Address - Phone:713-385-5137
Mailing Address - Fax:
Practice Address - Street 1:814 HONEA EGYPT RD STE 106
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3864
Practice Address - Country:US
Practice Address - Phone:713-385-5137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy