Provider Demographics
NPI:1043532682
Name:BAYDA, NANCY A (RPH)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:A
Last Name:BAYDA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ROUTE 46
Mailing Address - Street 2:PO BOX 2011
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9390
Mailing Address - Country:US
Mailing Address - Phone:800-549-2654
Mailing Address - Fax:888-596-1558
Practice Address - Street 1:45 ROUTE 46 EAST
Practice Address - Street 2:SUITE 609
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058
Practice Address - Country:US
Practice Address - Phone:800-549-2654
Practice Address - Fax:888-596-1558
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02205700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist