Provider Demographics
NPI:1881299428
Name:ADAMS-BUNCH, WENDY ANNE (RPH)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ANNE
Last Name:ADAMS-BUNCH
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 1:100 S LHS DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8600
Mailing Address - Country:US
Mailing Address - Phone:409-751-0521
Mailing Address - Fax:409-751-0724
Practice Address - Street 1:100 S LHS DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8600
Practice Address - Country:US
Practice Address - Phone:409-751-0521
Practice Address - Fax:409-751-0521
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist