Organization
BUNKIE PHARMACY INC
Active
Other names
BUNKIE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
FRED FOGLEMAN RPH (PRESIDENT)
(318) 346-6343
Entity
Organization
Contact information
Practice address
206 SW MAIN ST, BUNKIE, LA 71322-1781
(318) 346-6343
(318) 346-7428
Mailing address
PO BOX 699, BUNKIE, LA 71322-0699
(318) 346-6343
(318) 346-7428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1151R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1206202
—
LA
01
—
1904499
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/23/2011
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