Organization
BUNKER HILL PHARMACY INC
Active
Other names
BUNKER HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DODSON (PHARMACIST)
(580) 482-7530
Entity
Organization
Contact information
Practice address
1610 N MAIN ST, ALTUS, OK 73521-2145
(580) 482-7530
(580) 482-9139
Mailing address
1610 N MAIN ST, ALTUS, OK 73521-2145
(580) 482-7530
(580) 482-9139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17-5510
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235630A
—
OK
01
—
2072619
PK
—
Enumeration date
09/30/2006
Last updated
11/18/2015
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