Organization
BHESAJA LLC
Active
Other names
BGR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GITENDRA BOMMAREDDY (OWNER/PHARMACIST)
(269) 501-7359
Entity
Organization
Contact information
Practice address
31130 CORTEZ BLVD, BROOKSVILLE, FL 34602-7548
(269) 501-7359
Mailing address
23170 SCAGLIONE DR, LUTZ, FL 33549-5763
(269) 501-7359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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