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Organization
BHP INC
Active
Organization
BHP INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARADY A RUDE (BUSINESS MANAGER)
(605) 388-3622
Entity
Organization
Contact information
Practice address
2210 JACKSON BLVD, RAPID CITY, SD 57702-3419
(605) 399-3747
Mailing address
2210 JACKSON BLVD, RAPID CITY, SD 57702-3419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1001625
SD
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304589
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8500902
—
SD
05
—
9161082
—
SD
Enumeration date
08/20/2006
Last updated
03/07/2023
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