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Organization
BUNKER HILL PHARMACY INC
Active
Organization
BUNKER HILL PHARMACY INC
Active
Other names
BUNKER HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ROBERT O'BRIEN PHARMD (MANAGER)
(203) 574-7825
Entity
Organization
Contact information
Practice address
256 BUNKER HILL AVE, WATERBURY, CT 06708-2253
(203) 574-7825
(203) 574-4972
Mailing address
256 BUNKER HILL AVE, WATERBURY, CT 06708-2253
(203) 574-7825
(203) 574-4972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PCY.0000274
CT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004016036
—
CT
05
—
004027306
—
CT
01
—
1998233
PK
—
Enumeration date
11/09/2005
Last updated
05/09/2019
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