Adrienne Eubanks Bundrick

Individual provider Active NPI Pharmacist · Greenville, SC

NPI 1063012128 · NPPES record last updated Oct 28, 2020

Key facts

NPI
1063012128
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
42579 (SC)
Practice address
701 Grove Rd
Greenville, SC 29605-4210
Phone
(864) 455-4627
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
42579SCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42579 SC Yes

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-4210

Mailing address

312 Shutter Rd
Central, SC 29630-9785

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address adrienne.bundrick@prismahealth.org

Other providers in Greenville, SC

All providers in Greenville, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.