Organization
BUNTE'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES VANDE BUNTE R.PH (PRESIDENT)
(616) 772-4685
Entity
Organization
Contact information
Practice address
115 E MAIN ST., ZEELAND, MI 49464-1735
(616) 772-4685
Mailing address
115 E MAIN ST., ZEELAND, MI 49464-1735
(616) 772-4685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301000358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2309018
NABP
—
05
—
2309018
—
MI
01
—
5301000358
PHARMACY LICENSE
MI
Enumeration date
12/29/2006
Last updated
04/20/2012
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