Healthcare Provider Details

I. General information

NPI: 1215240726
Provider Name (Legal Business Name): BVM PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 KEMPWOOD DR STE B
HOUSTON TX
77080-2813
US

IV. Provider business mailing address

9325 KEMPWOOD DR STE B
HOUSTON TX
77080-2813
US

V. Phone/Fax

Practice location:
  • Phone: 713-460-5100
  • Fax: 713-460-5101
Mailing address:
  • Phone: 713-460-5100
  • Fax: 713-460-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number26995
License Number StateTX

VIII. Authorized Official

Name: MONICA TRIPLETT
Title or Position: P.I.C.
Credential:
Phone: 713-330-6213