Organization
BOSTICK'S PRESCRIPTION PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVA DANIEL BOSTICK RPH (PRESIDENT)
(740) 289-2269
Entity
Organization
Contact information
Practice address
549 S. WEST ST, PIKETON, OH 45661-0686
(740) 289-2269
(740) 289-4586
Mailing address
549 S. WEST ST, PO BOX 686, PIKETON, OH 45661-0686
(740) 289-2269
(740) 289-4586
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387531
—
OH
01
—
3636062
NCPDP
OH
Enumeration date
12/13/2006
Last updated
08/22/2020
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