MEDICARE: BIANCA MARIE DUNBAR 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	183500000X	Pharmacist	RP449845	PA

General Provider Information

NPI Number	:	1558810374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA MARIE DUNBAR PHARMD

Provider Business Mailing Address
First Line	:	211 AMITY AVE
Second Line	:
City	:	OLD FORGE
State	:	PA
Zip	:	18518-1034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5122 MILFORD RD
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18302-9706
Country	:	US
Telephone Number	:	570-223-2563
Fax Number	:

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

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

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