Organization
BUNTINGS DRUG CENTER LLC
Active
Other names
BUNTINGS AND NORTHSIDE DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DEEL (OWNER)
(276) 466-3600
Entity
Organization
Contact information
Practice address
1883 EUCLID AVE, BRISTOL, VA 24201-3605
(276) 466-3600
(276) 466-3578
Mailing address
1883 EUCLID AVE, BRISTOL, VA 24201-3605
(276) 466-3600
(276) 466-3578
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201001918
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153962
PK
—
Enumeration date
09/09/2015
Last updated
04/20/2017
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