Most Relevant Information
Provider Data
| NPI Number: | 1003430695 |
| Provider Name: | TARA BUNNI RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302412083 |
Most Important Dates
| Enumeration Date: | 05/30/2020 |
| Last Updated: | 05/30/2020 |
Provider Practice Location
125 E LONG LAKE RD
TROY
MI
480855524
Practice Location Phone/Fax
| Phone: | 2488799114 |
| Fax: |
Provider Mailing Location
43201 HILLSBORO DR
CLINTON TWP
MI
480385542
Provider Mailing Phone/Fax
| Phone: | 2489042900 |
| Fax: |