Healthcare Provider Details

I. General information

NPI: 1679493746
Provider Name (Legal Business Name): VERONICA BUNDANG RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2639
US

IV. Provider business mailing address

2141 QUEENS LN
SAN MATEO CA
94402-3932
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-8723
  • Fax:
Mailing address:
  • Phone: 408-613-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446142
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: