Organization
SHAFFER PHARMACY INC
Active
Other names
SHAFFER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON BUNTON PHARMD (PHARMD)
(419) 473-0891
Entity
Organization
Contact information
Practice address
3900 SUNFOREST CT STE 124, TOLEDO, OH 43623-4476
(419) 473-0891
(419) 473-0899
Mailing address
3900 SUNFOREST CT STE 124, TOLEDO, OH 43623-4476
(419) 473-0891
(419) 473-0899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02015785003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765337
—
OH
01
—
2075582
PK
—
Enumeration date
09/30/2006
Last updated
12/20/2021
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