Individual
COLIN DUANE BRUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14000 BOYS TOWN HOSPITAL RD, BOYS TOWN, NE 68010-7513
(531) 355-6124
Mailing address
1728 S 138TH ST, OMAHA, NE 68144-1137
(605) 212-9877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16488
NE
183500000X
Pharmacist
6820
SD
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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