MEDICARE: BM PHARMACY 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	3336C0003X	Community/Retail Pharmacy	26495	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4552419	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1912133216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BM PHARMACY INC

Provider Business Mailing Address
First Line	:	12924 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5131
Country	:	US
Telephone Number	:	713-457-3600
Fax Number	:	281-921-1311

Provider Business Practice Location Address
First Line	:	12924 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5131
Country	:	US
Telephone Number	:	713-457-3600
Fax Number	:	281-921-1311

Authorized Official
Title or Position	:	OWNER
Name	:	PHUONG NGUYEN
Credential	:
Telephone Number	:	281-989-7517

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	09/14/2009

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Directions to “BM PHARMACY INC ” Practice Location

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