Healthcare Provider Details

I. General information

NPI: 1407873136
Provider Name (Legal Business Name): B & P PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 SOUTHERN BLVD
BRONX NY
10459-5202
US

IV. Provider business mailing address

811 SOUTHERN BLVD
BRONX NY
10459-5202
US

V. Phone/Fax

Practice location:
  • Phone: 718-542-3328
  • Fax: 718-893-3684
Mailing address:
  • Phone: 718-542-3328
  • Fax: 718-893-3684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number021953
License Number StateNY

VIII. Authorized Official

Name: MS. PHYLLIS PINCUS VI
Title or Position: PRESIDENT
Credential:
Phone: 718-542-3328