Provider Demographics
NPI:1730721192
Name:BCRR RX INC
Entity type:Organization
Organization Name:BCRR RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BALA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KARNAM SREENIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-316-0363
Mailing Address - Street 1:1505 S HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7807
Mailing Address - Country:US
Mailing Address - Phone:409-853-4100
Mailing Address - Fax:
Practice Address - Street 1:1505 S HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7807
Practice Address - Country:US
Practice Address - Phone:409-853-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy