Provider Demographics
NPI:1154578771
Name:BGS PHARMACY PARTNERS INC
Entity type:Organization
Organization Name:BGS PHARMACY PARTNERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-552-7630
Mailing Address - Street 1:12311 WETMORE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3635
Mailing Address - Country:US
Mailing Address - Phone:210-293-0575
Mailing Address - Fax:210-293-0579
Practice Address - Street 1:12311 WETMORE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3635
Practice Address - Country:US
Practice Address - Phone:210-293-0575
Practice Address - Fax:210-293-0579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260973336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4549537OtherNCPDP PROVIDER IDENTIFICATION NUMBER