Individual
DANA BUNGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 SOUTH BLVD E, ROCHESTER HILLS, MI 48307-5453
(800) 456-2112
Mailing address
1191 SOUTH BLVD E, ROCHESTER HILLS, MI 48307-5453
(800) 456-2112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040237
MI
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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