Provider Demographics
NPI:1427385053
Name:BV PHARMACY DEVELOPMENT INC
Entity Type:Organization
Organization Name:BV PHARMACY DEVELOPMENT INC
Other - Org Name:ROSENBERG 9 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OANH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-762-0874
Mailing Address - Street 1:7211 PORT ALEXANDER WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3951
Mailing Address - Country:US
Mailing Address - Phone:281-857-4930
Mailing Address - Fax:
Practice Address - Street 1:4114 AVENUE H
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2833
Practice Address - Country:US
Practice Address - Phone:281-762-0874
Practice Address - Fax:281-762-0877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX266673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14610Medicaid
2122426OtherPK