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NPI Code Detail

MEDICARE: BCRR RX INC

MEDICARE: BCRR RX 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1730721192
Entity Type Code : Organization
Provider Name (Legal Business Name) : BCRR RX INC
Provider Business Mailing Address
First Line : 1505 S HIGHWAY 69
Second Line :
City : NEDERLAND
State : TX
Zip : 77627-7807
Country : US
Telephone Number : 409-853-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1505 S HIGHWAY 69
Second Line :
City : NEDERLAND
State : TX
Zip : 77627-7807
Country : US
Telephone Number : 409-853-4100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BALA S KARNAM SREENIVAS
Credential :
Telephone Number : 718-316-0363
Provider Enumeration Date : 10/16/2019
Last Update Date : 09/09/2024

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Directions to “BCRR RX INC ” Practice Location

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