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Organization
BGS PHARMACY PARTNERS INC
Active
Organization
BGS PHARMACY PARTNERS INC
Active
Other names
SPECTRUM PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LANHAM (PRESIDENT/CEO)
(817) 328-6421
Entity
Organization
Contact information
Practice address
3500 WILLIAM D TATE AVE STE 200, STE 200, GRAPEVINE, TX 76051-8734
(817) 251-8073
(817) 552-1224
Mailing address
3500 WILLIAM D TATE AVE, STE 200, GRAPEVINE, TX 76051-8749
(817) 251-8073
(817) 552-1224
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
24303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146101
—
TX
05
—
350231
—
TX
01
—
4539409
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/16/2005
Last updated
06/16/2011
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