Individual
MARK JAMES BROMMELHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20 OFALLON, O FALLON, MO 63366-3034
(636) 240-6610
(636) 240-7732
Mailing address
20 OFALLON SQ, O FALLON, MO 63366-3034
(636) 240-6610
(636) 240-7732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MO 040405
MO
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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