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Organization

BRUNO'S SUPERMARKETS, LLC.

Active
Parent organization
BRUNO'S SUPERMARKETS, LLC.
Other names
Bruno's Pharmacy #323
Organization subpart
Yes

Provider details

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

Contact information

Practice address
4350 OLD SHELL RD, MOBILE, AL 36608-2011
(251) 342-5367
(251) 342-2698
Mailing address
PO BOX 99, MAULDIN, SC 29662-0099
(864) 213-2587
(864) 213-2503

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
111840
AL
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0130384
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/20/2006
Last updated
12/04/2007
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