Organization
BUNNY'S PHARMACY, INC
Active
Other names
Bunny's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BONNORONT RPH (PRESIDENT)
(737) 472-4550
Entity
Organization
Contact information
Practice address
112 N MAIN AVE, SIDNEY, OH 45365-2731
(937) 492-4550
(937) 497-7986
Mailing address
112 N MAIN AVE, SIDNEY, OH 45365-2731
(937) 492-4550
(937) 497-7986
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP020100250
OH
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1130850
—
OH
01
—
2071867
PK
—
Enumeration date
07/14/2006
Last updated
08/21/2015
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