MEDICARE: DR. WILLIAM L BUNDY JR. PHARMD

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0202210433	VA

General Provider Information

NPI Number	:	1386502680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L BUNDY JR. PHARMD

Provider Business Mailing Address
First Line	:	5214 ORCHARD HILL DR
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-6042
Country	:	US
Telephone Number	:	813-417-4084
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214 ORCHARD HILL DR
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-6042
Country	:	US
Telephone Number	:	813-417-4084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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