| NPI | 1275901159 |
|---|---|
| Doing Business As | BUNTINGS AND NORTHSIDE DRUG CENTER |
| Entity Type | Organization |
| Authorized Contact | PATRICK DEEL Owner 276-466-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201001918) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2017-04-20 |