Bunker Hill Pharmacy

LBN: Bunker Hill Pharmacy Inc
Bunker Hill Pharmacy is an health care organization with primary practice located at 1610 N Main St , Altus OK 73521-2145. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bunker Hill Pharmacy Inc can be contacted via phone (580) 482-7530, or through Dodson, Mark via phone (580) 482-7530.

Contact Information

Primary practice address
1610 N Main St Altus OK 73521-2145
Phone: (580) 482-7530
Fax: (580) 482-9139
Website:
Map and Directions
Authorized official contact:
Name: Dodson, Mark
Phone: (580) 482-7530

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 17-5510 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1861585291
LBN Legal business name Bunker Hill Pharmacy Inc
DBA Doing business as Bunker Hill Pharmacy
Authorized official Dodson, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Nov 18th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861585291 NPPES
Oklahoma MEDICAID 100235630A
Oklahoma Other 2072619

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