Individual
MARK H BUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Mailing address
1013 E 800 N, WEST LAFAYETTE, IN 47906-9005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018559A
IN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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