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Contact Information

BUNKER HILL PHARMACY INC
1610 N MAIN ST
ALTUS, OK73521-2145
 Phone: 580-482-7530
 Fax: 580-482-9139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BUNKER HILL PHARMACY INC

NPI # 1861585291
LBN Legal business name BUNKER HILL PHARMACY INC
Authorized official MARK DODSON - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2006
Last updated 11/18/2015 - About 11 years ago
Identifiers
OK License # 17-5510
OK Medicaid 100235630A
Other 2072619 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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