Provider Demographics
NPI:1982369906
Name:B & P PHARMACY CORPORATION
Entity Type:Organization
Organization Name:B & P PHARMACY CORPORATION
Other - Org Name:HUNTINGTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRAFUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-738-2729
Mailing Address - Street 1:2961 DUFF RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-2188
Mailing Address - Country:US
Mailing Address - Phone:863-738-2729
Mailing Address - Fax:863-808-1797
Practice Address - Street 1:2961 DUFF RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-2188
Practice Address - Country:US
Practice Address - Phone:863-738-2729
Practice Address - Fax:863-808-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113153600Medicaid