# BRUNO'S SUPERMARKETS, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRUNO'S SUPERMARKETS, LLC.
- **Other names:** Bruno's Pharmacy \#051
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679688865
- **Legal business name:** BRUNO'S SUPERMARKETS, LLC.
- **Authorized official:** CURTIS HARTIN (SR. DIRECTOR OF PHARMACY)
- **Authorized official phone:** (864) 213-2584

## Contact information

- **Practice address:** 3780 RIVERCHASE VLG, HOOVER, AL 35244-1288
- **Practice address phone:** (205) 985-2294
- **Practice address fax:** (205) 987-1741
- **Mailing address:** PO BOX 99, MAULDIN, SC 29662-0099
- **Mailing address phone:** (864) 213-2587
- **Mailing address fax:** (864) 213-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 110576 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0125698 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
