Provider Demographics
NPI:1164716957
Name:MUNGER, LINDA SUNNY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SUNNY
Last Name:MUNGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2433
Mailing Address - Country:US
Mailing Address - Phone:602-308-3605
Mailing Address - Fax:602-308-3615
Practice Address - Street 1:5715 N 19TH AVE
Practice Address - Street 2:T2354
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2433
Practice Address - Country:US
Practice Address - Phone:602-308-3605
Practice Address - Fax:602-308-3615
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS011916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist