Individual
NIKOL BRUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
57 W 29TH AVE, EUGENE, OR 97405-3242
(541) 342-7648
Mailing address
2523 LAKEVIEW DR APT 104, EUGENE, OR 97408-4553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016017
OR
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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