MEDICARE: BHP 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	333600000X	Pharmacy	1001894	SD
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4353885	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1568577500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHP INC

Provider Business Mailing Address
First Line	:	747 TIMMONS BLVD # C
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57703-5701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	747 TIMMONS BLVD # C
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57703-5701
Country	:	US
Telephone Number	:	605-721-5400
Fax Number	:	605-721-9601

Authorized Official
Title or Position	:	THIRD PARTY PLAN COORDINATOR
Name	:	DENA FERMAN
Credential	:
Telephone Number	:	314-993-6000

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	09/11/2025

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Directions to “BHP INC ” Practice Location

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