Individual
ADAM BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 E MAIN ST, MESA, AZ 85205-7902
(480) 218-8573
Mailing address
2093 E MARLENE DR, GILBERT, AZ 85296-1523
(623) 210-3378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018503
AZ
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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