Individual
MR. BRUCE LAROY PELPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7208 TAYLORSVILLE RD, HUBER HEIGHTS, OH 45424-2303
(937) 813-3013
Mailing address
7208 TAYLORSVILLE RD, HUBER HEIGHTS, OH 45424-2303
(937) 813-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-18203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2297116
—
OH
Enumeration date
12/19/2005
Last updated
04/08/2021
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