# JOHN MARK BUKMIR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUKMIRS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639391493
- **Authorized official:** MR. JOHN MARK BUKMIR R.PH. (R.PH. OWNER)
- **Authorized official phone:** (740) 598-4755

## Contact information

- **Practice address:** 908 3RD ST, BRILLIANT, OH 43913-1049
- **Practice address phone:** (740) 598-4755
- **Practice address fax:** (740) 598-3112
- **Mailing address:** 908 3RD ST, BRILLIANT, OH 43913-1049
- **Mailing address phone:** (740) 598-4755
- **Mailing address fax:** (740) 598-3112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 02/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0830186 | — | OH |