Organization
BUNKER HILL PHARMACY INC
Active
Other names
BUNKER HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ROBERT O'BRIEN PHARMD (MANAGER)
(203) 574-7825
Entity
Organization
Contact information
Practice address
256 BUNKER HILL AVE, WATERBURY, CT 06708-2253
(203) 574-7825
(203) 574-4972
Mailing address
256 BUNKER HILL AVE, WATERBURY, CT 06708-2253
(203) 574-7825
(203) 574-4972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PCY.0000274
CT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004016036
—
CT
05
—
004027306
—
CT
01
—
1998233
PK
—
Enumeration date
11/09/2005
Last updated
05/09/2019
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