Organization
BP5 LLC
Active
Other names
BYPASS PHARMACY # 5
Organization subpart
No
Provider details
NPI number
Authorized official
SID ILANGOVAN (OWNER/MEMBER)
(304) 222-3064
Entity
Organization
Contact information
Practice address
816 MAIN ST, STE A, CHAPMANVILLE, WV 25508
(304) 853-5554
Mailing address
PO BOX 4525, CHAPMANVILLE, WV 25508-4525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
About Stedi
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