Individual
MRS. LOU ANN BRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
1995 W HWY 89A, SEDONA, AZ 86336-5531
(928) 282-3903
Mailing address
240 APPALOOSA DR, SEDONA, AZ 86351-9382
(808) 430-6337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPHS006972
AZ
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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