Individual
KEVIN SAMUEL BUNTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1300 S WATSON RD, BUCKEYE, AZ 85326-6303
(623) 691-6633
Mailing address
1300 S BUCKEYE RD, BUCKEYE, AZ 85326
(623) 691-6633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019176
AZ
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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