Healthcare Provider Details

I. General information

NPI: 1386683738
Provider Name (Legal Business Name): BJS WHOLESALE CLUB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 WHOLESALE CLUB DR
BALTIMORE MD
21236-3408
US

IV. Provider business mailing address

4201 WHOLESALE CLUB DR
BALTIMORE MD
21236-3408
US

V. Phone/Fax

Practice location:
  • Phone: 410-668-4139
  • Fax: 410-668-7803
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP04057
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS CELLA
Title or Position: ASSISTANT VICE PRESIDENT
Credential: RPH
Phone: 508-651-5621