Organization
BUNNELL PHARMACY INC
Active
Organization
BUNNELL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CORGAN RPH (OWNER)
(386) 437-3325
Entity
Organization
Contact information
Practice address
706 E MOODY BLVD, BUNNELL, FL 32110-0895
(386) 437-3325
(386) 437-1533
Mailing address
PO BOX 895, BUNNELL, FL 32110-0895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0008958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007790
OTHER ID NUMBER
—
Enumeration date
08/25/2006
Last updated
09/13/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up