NPI | 1386186641 |
---|---|
Doing Business As | BGA PHARMACY |
Entity Type | Organization |
Authorized Contact | DENNIS ROWLEN Managing Officer 817-572-0009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114671) |
Additional Taxonomies | 333600000X Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2016-11-17 |
Last Update Date | 2024-09-17 |