Organization
BRUNERS MONETT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRUNER RPH (OWNER)
(417) 235-3139
Entity
Organization
Contact information
Practice address
321 E BROADWAY ST, MONETT, MO 65708-2329
(417) 235-3139
(417) 459-4783
Mailing address
321 E BROADWAY ST, MONETT, MO 65708-2329
(417) 235-3139
(417) 459-4783
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
002253
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922089549
NPI FOR MEDICAL EQUIPMENT
MO
01
—
2602236
NCPDP NUMBER
MO
05
—
600093801
—
MO
Enumeration date
01/29/2007
Last updated
03/23/2023
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