MEDICARE: BP INC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1811670409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BP INC

Provider Business Mailing Address
First Line	:	15615 PACIFIC ST STE 8
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68118-2118
Country	:	US
Telephone Number	:	402-496-9757
Fax Number	:	402-496-9788

Provider Business Practice Location Address
First Line	:	15615 PACIFIC ST STE 8
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68118-2118
Country	:	US
Telephone Number	:	402-496-9757
Fax Number	:	402-496-9788

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JED LEWIS
Credential	:
Telephone Number	:	402-496-9757

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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Directions to “BP INC ” Practice Location

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