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NPI 1568952018

NPI 1568952018 : BPI PHARMACY INC : ZEELAND, MI

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General NPI Number Information
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    NPI Number           |    1568952018
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    Entity Type          |    Organization 
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    Legal Business Name  |    BPI PHARMACY INC 
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Dates
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    Enumeration Date     |    05/10/2018
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    115 E MAIN AVE 
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    City                 |    ZEELAND
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    State                |    MI
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    Zip                  |    49464-1735
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    Country              |    US
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    Telephone            |    616-772-4685
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    Fax                  |    616-772-9526
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Provider Business Mailing Address
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    Address Line         |    115 E MAIN AVE 
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    City                 |    ZEELAND
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    State                |    MI
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    Zip                  |    49464-1735
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    Country              |    US
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    Telephone            |    616-772-4685
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    Fax                  |    616-772-9526
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KRISTIN  RAREDON 
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    Credential           |    
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    Telephone            |    616-772-4685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    5301011047
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    License Number State |    MI
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