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NPI Code Detail

MEDICARE: BULLARD DRUG INC

MEDICARE: BULLARD DRUG INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy06781TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477507937
Entity Type Code : Organization
Provider Name (Legal Business Name) : BULLARD DRUG INC
Provider Business Mailing Address
First Line : 1926 W MORTON
Second Line :
City : DENISON
State : TX
Zip : 75020-1617
Country : US
Telephone Number : 903-465-0048
Fax Number : 903-465-3492
Provider Business Practice Location Address
First Line : 1926 W MORTON
Second Line :
City : DENISON
State : TX
Zip : 75020-1617
Country : US
Telephone Number : 903-465-0048
Fax Number : 903-465-3492
Authorized Official
Title or Position : OWNER PRESIDENT
Name : JOHN D BULLARD
Credential : RPH
Telephone Number : 903-465-0048
Provider Enumeration Date : 05/20/2006
Last Update Date : 12/05/2007

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Directions to “BULLARD DRUG INC ” Practice Location

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