Individual
MR. THOMAS RUSSELL BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD CANIDIATE
Contact information
Practice address
511 EAGLE RIDGE DR, BIRMINGHAM, AL 35242-5323
(239) 770-8970
Mailing address
511 EAGLE RIDGE DR, BIRMINGHAM, AL 35242-5323
(239) 770-8970
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10669
AL
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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