Provider Information for 1568577500
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BHP INC
Other Names:Doing Business As:MEDICAP PHARMACYOrganization Subpart: NO
NPI: 1568577500
Last Updated: 2020-08-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568577500 | ||||||||||||
| Enumeration Date | 2006-08-20 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| Authorized Official Information | Name: DENA FERMAN Title: THIRD PARTY PLAN COORDINATOR Phone: 3149936000 | ||||||||||||
| Mailing Address | 747 TIMMONS BLVD # C RAPID CITY, SD 57703-5701 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 747 TIMMONS BLVD # C RAPID CITY, SD 57703-5701 United States Phone: 605-721-5400 | Fax:605-721-9601 | ||||||||||||
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