Provider Demographics
NPI:1841751856
Name:BP PHARMACY, INC.
Entity Type:Organization
Organization Name:BP PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HYUNG
Authorized Official - Middle Name:SEOK
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-752-6698
Mailing Address - Street 1:6726 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3410
Mailing Address - Country:US
Mailing Address - Phone:714-752-6698
Mailing Address - Fax:714-752-6538
Practice Address - Street 1:6726 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3410
Practice Address - Country:US
Practice Address - Phone:714-752-6698
Practice Address - Fax:714-752-6538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy