Organization
BHP LAX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL (OWNER/AO)
(803) 804-4735
Entity
Organization
Contact information
Practice address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2215
(803) 286-8444
(803) 286-8466
Mailing address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2215
(803) 286-8444
(803) 286-8466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171357
PK
—
05
—
728680
—
SC
Enumeration date
02/03/2007
Last updated
01/25/2019
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