| NPI | 1194439554 |
|---|---|
| Doing Business As | BUNTINGS & NORTHSIDE PHARMACY |
| Doing Business As | BUNTING'S & NORTHSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WESLEY VERNON ARTHUR WATERS Owner 276-466-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-06-06 |