Individual
MR. BRUCE D CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1330 JEROME AVE, BRONX, NY 10452-3316
(718) 552-2278
(718) 552-2280
Mailing address
1330 JEROME AVE, BRONX, NY 10452-3316
(718) 552-2278
(718) 552-2280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0004429
CT
183500000X
Pharmacist
Primary
030050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02759988
—
NY
Enumeration date
11/06/2008
Last updated
08/18/2011
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