Provider Demographics
NPI:1467953943
Name:BVM PHARMACY LLC
Entity Type:Organization
Organization Name:BVM PHARMACY LLC
Other - Org Name:MEDICAP PHARMACY #8197
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:HARESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-748-2449
Mailing Address - Street 1:254 E JIMMIE LEEDS RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9567
Mailing Address - Country:US
Mailing Address - Phone:609-748-2449
Mailing Address - Fax:
Practice Address - Street 1:254 E JIMMIE LEEDS RD UNIT 1
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9567
Practice Address - Country:US
Practice Address - Phone:609-748-2449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BVM PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-21
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy