Healthcare Provider Details

I. General information

NPI: 1902948003
Provider Name (Legal Business Name): BFP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 OOLTEWAH RINGGOLD RD STE 100
OOLTEWAH TN
37363-7091
US

IV. Provider business mailing address

5032 OOLTEWAH RINGGOLD RD STE 100
OOLTEWAH TN
37363-7091
US

V. Phone/Fax

Practice location:
  • Phone: 423-396-6963
  • Fax: 423-396-6947
Mailing address:
  • Phone: 423-396-6963
  • Fax: 423-396-6947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3940
License Number StateTN

VIII. Authorized Official

Name: GREG BOHANNON
Title or Position: MANAGER
Credential:
Phone: 423-396-6963