MRS. Sandra Lee Funderburk

NPI #1265032510 in Temple, Texas

Provider Information

NPI Number
1265032510
Entity Type
Individual
Name
MRS. Sandra Lee Funderburk
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 27, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
3401 S 31ST ST
City
Temple
State
Texas
ZIP Code
76502-1902
Phone
(254) 778-4636

Specialties & Taxonomy Codes

Specialty
Pharmacist

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