Individual
MR. JOHN MARK BUKMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
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
183500000X
Pharmacist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830186
—
OH
Enumeration date
08/21/2006
Last updated
07/09/2007
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