Organization
BRUCE'S MARKET BASKET, LTD.
Active
Organization
BRUCE'S MARKET BASKET, LTD.
Active
Other names
Bruce's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SKYLAR THOMPSON (PRESIDENT)
(409) 727-3104
Entity
Organization
Contact information
Practice address
6001 39TH ST, GROVES, TX 77619-4651
(409) 749-6405
(409) 749-6505
Mailing address
PO BOX 1717, NEDERLAND, TX 77627-1717
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143495
—
TX
Enumeration date
05/17/2006
Last updated
02/04/2011
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