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Individual

DR. BRYAN WESLEY BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
(573) 341-3986
Mailing address
19 BURGHER DR, ROLLA, MO 65401-3602
(314) 488-8631

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002029007
MO

Other

Enumeration date
09/29/2011
Last updated
07/20/2020
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