Provider Demographics
NPI:1659331015
Name:BUNCH PHARMACY INC
Entity Type:Organization
Organization Name:BUNCH PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BUDDY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-582-5700
Mailing Address - Street 1:1800 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-1613
Mailing Address - Country:US
Mailing Address - Phone:256-528-5700
Mailing Address - Fax:256-582-3827
Practice Address - Street 1:1800 HENRY ST
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-1613
Practice Address - Country:US
Practice Address - Phone:256-528-5700
Practice Address - Fax:256-582-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111158333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1200420001Medicare NSC