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MRS. LOU ANN BRUCK R.PH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1043623176

Individual Registrant:
MRS. LOU ANN  BRUCK R.PH
Gender: F
Sole Proprietor

Location and contact information for practice:
1995 W HWY 89A  SEDONA, AZ 86336-5531 US
Tel: 928-282-3903  Fax: --

Contact information for business:
240 APPALOOSA DR  SEDONA, AZ 86351-9382 US
Tel: 808-430-6337  Fax: --

Registration Information:
NPI: 1043623176
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZRPHS006972

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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