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NPI Code Detail

MEDICARE: DR. WILLIAM L BUNDY JR. PHARMD

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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0202210433VA

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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