NPI 1679926075

Bga Pharma Supply LLC

Organisation Specialty Pharmacy Bohemia, NY

Practice location

Address: 116 Wilbur Pl, Bohemia, NY 11716-2402
Phone: (631) 750-4700

Authorised official

Name: Maria Bonlarron
Title: Member
Phone: (631) 750-4700

Registered specialties

Specialty Pharmacy Primary

Suppliers Taxonomy 3336S0011X

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Registry record

NPI: 1679926075
Entity type: Organization
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.