| NPI | 1174400337 |
|---|---|
| Doing Business As | BGR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GITENDRA BOMMAREDDY Owner/Pharmacist 269-501-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |