Individual
KEELY BUNKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 RETREAT VLG, SAINT SIMONS ISLAND, GA 31522-2403
(912) 339-2734
Mailing address
135 CARDINAL RD APT 103, BRUNSWICK, GA 31525-3020
(912) 339-2734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH032588
PHARMACST LICENSE
GA
Enumeration date
01/28/2021
Last updated
01/28/2021
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