Healthcare Provider Details

I. General information

NPI: 1790949014
Provider Name (Legal Business Name): BVM PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 E JIMMIE LEEDS RD UNIT 1
GALLOWAY NJ
08205-9567
US

IV. Provider business mailing address

254 E JIMMIE LEEDS RD UNIT 1
GALLOWAY NJ
08205-9567
US

V. Phone/Fax

Practice location:
  • Phone: 609-748-2449
  • Fax: 609-748-0959
Mailing address:
  • Phone: 609-748-2449
  • Fax: 609-748-0959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HARESH C PATEL
Title or Position: PIC
Credential:
Phone: 609-748-2449