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	1001811	SD
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4305012	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831204874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHP INC

Provider Business Mailing Address
First Line	:	339 SAINT PATRICK ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4645
Country	:	US
Telephone Number	:	605-388-3622
Fax Number	:	605-388-3711

Provider Business Practice Location Address
First Line	:	339 SAINT PATRICK ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-4645
Country	:	US
Telephone Number	:	605-388-3622
Fax Number	:	605-388-3711

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	JOCELYN PRANG
Credential	:	PHARMD
Telephone Number	:	605-388-3622

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	03/07/2023

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Directions to “BHP INC ” Practice Location

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