Provider Demographics
NPI:1740790674
Name:BENDZ, LISA (PHARMD, BCPS, CPP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:BENDZ
Suffix:
Gender:F
Credentials:PHARMD, BCPS, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DUH PHARMACY DEPARTMENT, 14221 DUKE SOUTH, TRENT DRIVE
Mailing Address - Street 2:DUMC BOX 3089
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710
Mailing Address - Country:US
Mailing Address - Phone:919-668-5429
Mailing Address - Fax:919-681-3895
Practice Address - Street 1:DUKE OUTPATIENT CLINIC
Practice Address - Street 2:4220 NORTH ROXBORO RD
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1826
Practice Address - Country:US
Practice Address - Phone:919-477-5904
Practice Address - Fax:919-477-3110
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0070-009521835P0018X
NC3080098681835P1200X
NC18914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy