MEDICARE: B AND C HEALTH SERVICES LLC

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
2	3336H0001X	Home Infusion Therapy Pharmacy
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	3336S0011X	Specialty Pharmacy
5	3336C0004X	Compounding Pharmacy
6	3336L0003X	Long Term Care Pharmacy	PW0271	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1871686212	OTHER	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2133065	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1871686212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B AND C HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 403
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 403
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:	301-203-3382
Fax Number	:	301-203-3385

Authorized Official
Title or Position	:	OWNER
Name	:	PRINCE DENNIS
Credential	:
Telephone Number	:	301-203-3382

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	08/29/2007

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Directions to “B AND C HEALTH SERVICES LLC ” Practice Location

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