Provider Demographics
NPI:1386288264
Name:BFPRX LLC
Entity type:Organization
Organization Name:BFPRX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:B
Authorized Official - Last Name:BELLDINA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-276-5066
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:
Mailing Address - City:BRUCETON MILLS
Mailing Address - State:WV
Mailing Address - Zip Code:26525-0372
Mailing Address - Country:US
Mailing Address - Phone:304-379-6919
Mailing Address - Fax:304-379-6929
Practice Address - Street 1:198 MORGANTOWN ST STE 1
Practice Address - Street 2:
Practice Address - City:BRUCETON MILLS
Practice Address - State:WV
Practice Address - Zip Code:26525-5003
Practice Address - Country:US
Practice Address - Phone:304-379-6919
Practice Address - Fax:304-379-6929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy