Provider Demographics
NPI:1912133216
Name:BM PHARMACY INC
Entity Type:Organization
Organization Name:BM PHARMACY INC
Other - Org Name:BELLAIRE MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-989-7517
Mailing Address - Street 1:12924 BELLAIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5131
Mailing Address - Country:US
Mailing Address - Phone:713-457-3600
Mailing Address - Fax:281-921-1311
Practice Address - Street 1:12924 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5131
Practice Address - Country:US
Practice Address - Phone:713-457-3600
Practice Address - Fax:281-921-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX264953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4552419OtherNCPDP PROVIDER IDENTIFICATION NUMBER