Healthcare Provider Details

I. General information

NPI: 1366471153
Provider Name (Legal Business Name): BOND PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 W BUCHANAN ST
CALIFORNIA MO
65018-1227
US

IV. Provider business mailing address

703 W BUCHANAN ST
CALIFORNIA MO
65018-1227
US

V. Phone/Fax

Practice location:
  • Phone: 573-796-3145
  • Fax: 573-796-3185
Mailing address:
  • Phone: 573-796-3145
  • Fax: 573-796-3185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28118
License Number StateMO

VIII. Authorized Official

Name: BRIAN HILLS
Title or Position: OWNER
Credential:
Phone: 573-796-3145