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BUNKER HILL PHARMACY INC NPI 1649251372


NPI Information

NPI: 1649251372
Provider Name: BUNKER HILL PHARMACY INC

Doing Business As: BUNKER HILL PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
256 BUNKER HILL AVE
WATERBURY, CT
ZIP 06708
Phone: (203) 574-7825
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BUNKER HILL PHARMACY INC is a pharmacy in Waterbury, CT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BUNKER HILL PHARMACY INC NPI is 1649251372. The provider is registered as an organization entity type.
The provider Is Doing Business As Bunker Hill Pharmacy.

The provider's business location address is:

256 BUNKER HILL AVE
WATERBURY, CT
ZIP 06708-253
Phone: (203) 574-7825
Fax: (203) 574-4972

The provider's authorized official is Christopher Robert O'brien .
The authorized official title is Manager and has the following contact phone number (203) 574-7825.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 5/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyPCY.0000274CONNECTICUTNo
4333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004027306MEDICAIDCONNECTICUT
21998233OTHERPK
3004016036MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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