Provider Demographics
NPI:1104718592
Name:BUNGER, TROY JOSEPH
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:JOSEPH
Last Name:BUNGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SAYDE LN
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150-8377
Mailing Address - Country:US
Mailing Address - Phone:302-235-9880
Mailing Address - Fax:
Practice Address - Street 1:5905 DOLLARWAY RD
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71602-3825
Practice Address - Country:US
Practice Address - Phone:870-534-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician