Healthcare Provider Details

I. General information

NPI: 1871686212
Provider Name (Legal Business Name): B AND C HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10905 FORT WASHINGTON RD SUITE 403
FT WASHINGTON MD
20744-5843
US

IV. Provider business mailing address

10905 FORT WASHINGTON RD SUITE 403
FT WASHINGTON MD
20744-5843
US

V. Phone/Fax

Practice location:
  • Phone: 301-203-3382
  • Fax: 301-203-3385
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPW0271
License Number StateMD

VIII. Authorized Official

Name: PRINCE DENNIS
Title or Position: OWNER
Credential:
Phone: 301-203-3382