Organization
BUNKIE CITY DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY P JUNEAU RPH (PHARMACIST IN CHARGE)
(318) 346-6307
Entity
Organization
Contact information
Practice address
1010 SHIRLEY RD, BUNKIE, LA 71322-1543
(318) 346-6307
(318) 346-2203
Mailing address
PO BOX 207, 1010 SHIRLEY ROAD, BUNKIE, LA 71322-0207
(318) 346-6307
(318) 346-2203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.004234-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1267112
—
LA
Enumeration date
07/28/2006
Last updated
03/22/2018
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