| NPI | 1821154220 |
|---|---|
| Doing Business As | BVRMC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN ROB COLERICK CEO 712-213-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1056) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: IA 1056) | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IA 1056) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-01-30 |