Provider Demographics
NPI:1568922516
Name:BCS HEALTH LLC
Entity Type:Organization
Organization Name:BCS HEALTH LLC
Other - Org Name:EAST TROY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:WITT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:262-379-4008
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:EAST TROY
Mailing Address - State:WI
Mailing Address - Zip Code:53120-0255
Mailing Address - Country:US
Mailing Address - Phone:262-642-3510
Mailing Address - Fax:262-642-3512
Practice Address - Street 1:3284 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST TROY
Practice Address - State:WI
Practice Address - Zip Code:53120-1152
Practice Address - Country:US
Practice Address - Phone:262-642-3510
Practice Address - Fax:262-642-3512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-24
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy