Organization
BPRS INC
Active
Other names
AVENUE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VAAL BS, RPH (VP, PHARMACIST)
(859) 491-1700
Entity
Organization
Contact information
Practice address
201 6TH AVE, DAYTON, KY 41074
(859) 491-1700
(859) 491-7680
Mailing address
201 6TH AVE, DAYTON, KY 41074-1575
(859) 491-1700
(859) 491-7680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P06766
KY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033832
PK
—
05
—
54003652
—
KY
05
—
9000 5182
—
KY
Enumeration date
07/17/2006
Last updated
04/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us