Organization
JOHN MARK BUKMIR
Active
Other names
BUKMIRS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARK BUKMIR R.PH. (R.PH. OWNER)
(740) 598-4755
Entity
Organization
Contact information
Practice address
908 3RD ST, BRILLIANT, OH 43913-1049
(740) 598-4755
(740) 598-3112
Mailing address
908 3RD ST, BRILLIANT, OH 43913-1049
(740) 598-4755
(740) 598-3112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830186
—
OH
Enumeration date
05/02/2007
Last updated
02/08/2016
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