Provider Demographics
NPI:1245351741
Name:BG'S PHARMACY, INC.
Entity type:Organization
Organization Name:BG'S PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNABE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:305-325-0698
Mailing Address - Street 1:1050 NW 14TH ST
Mailing Address - Street 2:#133
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2105
Mailing Address - Country:US
Mailing Address - Phone:305-325-0698
Mailing Address - Fax:
Practice Address - Street 1:1050 NW 14TH ST
Practice Address - Street 2:#133
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2105
Practice Address - Country:US
Practice Address - Phone:305-325-0698
Practice Address - Fax:305-326-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS18981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty