Provider Demographics
NPI:1326699513
Name:LUNDAY, DEE SYNDERGAARD (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEE
Middle Name:SYNDERGAARD
Last Name:LUNDAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2529
Mailing Address - Country:US
Mailing Address - Phone:435-734-2027
Mailing Address - Fax:435-734-9935
Practice Address - Street 1:156 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-2529
Practice Address - Country:US
Practice Address - Phone:435-734-2027
Practice Address - Fax:435-734-9935
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT132725-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist