Provider Demographics
NPI:1417749367
Name:BOND DRUG STORE, LLC
Entity type:Organization
Organization Name:BOND DRUG STORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:HARLOW
Authorized Official - Last Name:HILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-216-1866
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:TIPTON
Mailing Address - State:MO
Mailing Address - Zip Code:65081-0827
Mailing Address - Country:US
Mailing Address - Phone:660-433-6336
Mailing Address - Fax:660-433-6320
Practice Address - Street 1:310 US HIGHWAY 50 W
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:MO
Practice Address - Zip Code:65081-8701
Practice Address - Country:US
Practice Address - Phone:660-433-6336
Practice Address - Fax:660-433-6320
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOND PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty