MEDICARE: BVM PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	26995	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5900647	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1215240726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BVM PHARMACY INC

Provider Business Mailing Address
First Line	:	9325 KEMPWOOD DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2813
Country	:	US
Telephone Number	:	713-460-5100
Fax Number	:	713-460-5101

Provider Business Practice Location Address
First Line	:	9325 KEMPWOOD DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-2813
Country	:	US
Telephone Number	:	713-460-5100
Fax Number	:	713-460-5101

Authorized Official
Title or Position	:	P.I.C.
Name	:	MONICA TRIPLETT
Credential	:
Telephone Number	:	713-330-6213

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	06/23/2011

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Directions to “BVM PHARMACY INC ” Practice Location

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