Bp4 LLC
NPI #1700253861 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1700253861
- Entity Type
- Organization
- Organization Name
- Bp4 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 25, 2015
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 5151 MACCORKLE AVE SW
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1109
- Phone
- (304) 766-0900
Authorized Official
- Name
- SIDDARTHAN ILANGOVAN
- Title
- PHARMACIST
- Phone
- (304) 222-3064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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