Provider Demographics
NPI:1477845071
Name:LUNASIN, ELEANOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:
Last Name:LUNASIN
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 1:4600 NORSAW CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8447
Mailing Address - Country:US
Mailing Address - Phone:757-617-9210
Mailing Address - Fax:
Practice Address - Street 1:5005 MACKAY RD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-9398
Practice Address - Country:US
Practice Address - Phone:336-292-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-15
Last Update Date:2011-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17426183500000X
VA0202206981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist