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Organization
JOHN MARK BUKMIR
Active
Organization
JOHN MARK BUKMIR
Active
Other names
BUKMIRS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARK BUKMIR R.PH. (R.PH. OWNER)
(740) 598-4755
Entity
Organization
Contact information
Practice address
908 3RD ST, BRILLIANT, OH 43913-1049
(740) 598-4755
(740) 598-3112
Mailing address
908 3RD ST, BRILLIANT, OH 43913-1049
(740) 598-4755
(740) 598-3112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830186
—
OH
Enumeration date
05/02/2007
Last updated
02/08/2016
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