Provider Demographics
NPI:1427623305
Name:BC RX SERVICES
Entity type:Organization
Organization Name:BC RX SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NENITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BALDOVINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-687-8108
Mailing Address - Street 1:545 S MARINE CORPS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3566
Mailing Address - Country:US
Mailing Address - Phone:671-646-6335
Mailing Address - Fax:671-648-6337
Practice Address - Street 1:541 S MARINE CORPS DR STE 101
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3521
Practice Address - Country:US
Practice Address - Phone:671-646-6337
Practice Address - Fax:671-648-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy