NPI Code Details Logo

NPI 1184390965

NPI 1184390965 : BFG HEALTH LLC : CHANDLER, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1184390965
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BFG HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/20/2021
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2075 W WARNER RD STE 3 
-----------------------------------------------------
    City                 |    CHANDLER
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85224-2109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-590-2040
-----------------------------------------------------
    Fax                  |    480-590-4806
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2075 W WARNER RD STE 3 
-----------------------------------------------------
    City                 |    CHANDLER
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85224-2109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-590-2040
-----------------------------------------------------
    Fax                  |    480-590-4806
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     HIRENKUMAR  DUDHAT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    480-590-2040
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.