MEDICARE: BPZ HOLDINGS 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	3336C0002X	Clinic Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	TX20091	TX

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	4503757	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1831220151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BPZ HOLDINGS INC

Provider Business Mailing Address
First Line	:	1445 NORTH LOOP W
Second Line	:	SUITE 190
City	:	HOUSTON
State	:	TX
Zip	:	77008-1661
Country	:	US
Telephone Number	:	713-864-4449
Fax Number	:	713-864-0190

Provider Business Practice Location Address
First Line	:	1445 NORTH LOOP W STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1654
Country	:	US
Telephone Number	:	713-864-4449
Fax Number	:	713-864-0190

Authorized Official
Title or Position	:	PRESIDENT AND OWNER
Name	:	RODNEY BAILEY
Credential	:	RPH PHARMD
Telephone Number	:	713-864-4449

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	02/01/2012

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Directions to “BPZ HOLDINGS INC ” Practice Location

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