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Bp6 LLC

Pharmacy, Community/Retail Pharmacy in Mount Gay, WV. Organization (NPI-2).

NPI number1194289934
StatusActive
Last updated in NPPESNov 18, 2021

Details

NPI
1194289934
Entity type
Organization (NPI-2)
Legal business name
Bp6 LLC
Organization subpart
No
Enumeration date
Jan 25, 2019
Certification date
Nov 18, 2021
Last updated
Nov 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X Pharmacy––

Other names

  • Bypass Pharmacy # 6 (Doing Business As)

Practice location

360 Mount Gay Rd
Mount Gay, WV 25637

Phone 304-752-1445 · Fax 304-752-1468

Mailing address

104 S Eisenhower Dr
Beckley, WV 25801-4930

Phone 304-222-3064 · Fax 304-253-3982

Authorized official

Siddarthan Ilangovan
Owner/Pharmacist
3042223064

Is something wrong?

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