Provider Demographics
NPI:1588943773
Name:B P MUKHI INC.
Entity type:Organization
Organization Name:B P MUKHI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:BHAVIKKUMAR
Authorized Official - Middle Name:KIRITKUMAR
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-592-4650
Mailing Address - Street 1:1601 N IMPERIAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-6306
Mailing Address - Country:US
Mailing Address - Phone:760-592-4650
Mailing Address - Fax:760-592-4667
Practice Address - Street 1:1601 N IMPERIAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-6306
Practice Address - Country:US
Practice Address - Phone:760-592-4650
Practice Address - Fax:760-592-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY506933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY50693OtherCA BOARD OF PHARMACY PERMIT