Provider Demographics
NPI:1992305569
Name:GUNTER, ROD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROD
Middle Name:
Last Name:GUNTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 INDEPENDENCE PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4059
Mailing Address - Country:US
Mailing Address - Phone:972-396-6408
Mailing Address - Fax:972-396-6411
Practice Address - Street 1:8040 INDEPENDENCE PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4059
Practice Address - Country:US
Practice Address - Phone:972-396-6408
Practice Address - Fax:972-396-6411
Is Sole Proprietor?:No
Enumeration Date:2020-10-31
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist