Provider Demographics
NPI:1679566012
Name:BBF PHARMACY INC
Entity Type:Organization
Organization Name:BBF PHARMACY INC
Other - Org Name:MERIDEN PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FROELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-484-3784
Mailing Address - Street 1:7210 HIGHWAY K4
Mailing Address - Street 2:SUITE A
Mailing Address - City:MERIDEN
Mailing Address - State:KS
Mailing Address - Zip Code:66512-9389
Mailing Address - Country:US
Mailing Address - Phone:785-484-3784
Mailing Address - Fax:785-484-3688
Practice Address - Street 1:7210 HIGHWAY K4
Practice Address - Street 2:SUITE A
Practice Address - City:MERIDEN
Practice Address - State:KS
Practice Address - Zip Code:66512-9389
Practice Address - Country:US
Practice Address - Phone:785-484-3784
Practice Address - Fax:785-484-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-10007333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100438660CMedicaid
KS100438660BMedicaid
KS100438660BMedicaid