Provider Demographics
NPI:1740792704
Name:BELL CARE PHARMACY GROUP, INC.
Entity Type:Organization
Organization Name:BELL CARE PHARMACY GROUP, INC.
Other - Org Name:BELL RX DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GOPICHANDU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKHAVASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-781-2400
Mailing Address - Street 1:2710 S CLEAR CREEK RD APT 113
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6686
Mailing Address - Country:US
Mailing Address - Phone:254-781-2400
Mailing Address - Fax:254-781-2405
Practice Address - Street 1:2710 S CLEAR CREEK RD APT 113
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-6686
Practice Address - Country:US
Practice Address - Phone:254-781-2400
Practice Address - Fax:254-781-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-31
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy