Healthcare Provider Details

I. General information

NPI: 1922113968
Provider Name (Legal Business Name): BHP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 JACKSON BLVD
RAPID CITY SD
57702-3419
US

IV. Provider business mailing address

2210 JACKSON BLVD
RAPID CITY SD
57702-3419
US

V. Phone/Fax

Practice location:
  • Phone: 605-399-3747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1001625
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARADY A RUDE
Title or Position: BUSINESS MANAGER
Credential:
Phone: 605-388-3622