Provider Demographics
NPI:1336465103
Name:BKD PRODUCTIONS, LLC
Entity Type:Organization
Organization Name:BKD PRODUCTIONS, LLC
Other - Org Name:IT'S MORE TO YOUR DOOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-418-7320
Mailing Address - Street 1:5123 CHIMNEYLAKE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-7667
Mailing Address - Country:US
Mailing Address - Phone:765-418-7320
Mailing Address - Fax:
Practice Address - Street 1:5123 CHIMNEYLAKE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-7667
Practice Address - Country:US
Practice Address - Phone:765-418-7320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy