| NPI | 1700805934 |
|---|---|
| Doing Business As | BUNTINGS & NORTHSIDE DRUGCENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN MILLARD VANDEVENTER Owner Pharmacist 276-466-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201001918) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-08-19 |