Organization
BONFIGLIO DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BONFIGLIO (PRESIDENT)
(970) 736-2377
Entity
Organization
Contact information
Practice address
118 WEST MAIN STREET, OAK CREEK, CO 80467
(970) 736-2377
Mailing address
PO BOX 748, OAK CREEK, CO 80467-0748
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
94-01
CO
3336L0003X
Long Term Care Pharmacy
94-01
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03002532
—
CO
01
—
0605444
NCPDP
—
Enumeration date
10/19/2006
Last updated
06/11/2018
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