MEDICARE: BCS HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1568922516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BCS HEALTH LLC

Provider Business Mailing Address
First Line	:	PO BOX 255
Second Line	:
City	:	EAST TROY
State	:	WI
Zip	:	53120-0255
Country	:	US
Telephone Number	:	262-642-3510
Fax Number	:	262-642-3512

Provider Business Practice Location Address
First Line	:	3284 MAIN ST
Second Line	:
City	:	EAST TROY
State	:	WI
Zip	:	53120-1152
Country	:	US
Telephone Number	:	262-642-3510
Fax Number	:	262-642-3512

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. KEITH A WITT
Credential	:	R.PH.
Telephone Number	:	262-379-4008

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	06/01/2020

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Directions to “BCS HEALTH LLC ” Practice Location

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