Provider Demographics
NPI:1407216732
Name:B P RANCHO RX INC
Entity Type:Organization
Organization Name:B P RANCHO RX INC
Other - Org Name:RANCHO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PIC
Authorized Official - Prefix:
Authorized Official - First Name:BHAVIK
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-240-7378
Mailing Address - Street 1:9912 CARMEL MOUNTAIN RD
Mailing Address - Street 2:STE E
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2808
Mailing Address - Country:US
Mailing Address - Phone:858-240-7378
Mailing Address - Fax:858-240-0155
Practice Address - Street 1:9912 CARMEL MOUNTAIN RD
Practice Address - Street 2:STE E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2808
Practice Address - Country:US
Practice Address - Phone:858-240-7378
Practice Address - Fax:858-240-0155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA542843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy