Individual
JOHN DANIEL BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1426 MAIN ST, MC 11P, COLUMBIA, SC 29201-5804
(803) 217-7068
(803) 217-9717
Mailing address
120 HICKORY KNOB HILL RD, IRMO, SC 29063-9782
(803) 749-1778
(803) 933-8590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006311
SC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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