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Individual

MR. BRUCE LANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
820 E MCCART ST STE C, KRUM, TX 76249-5634
(940) 482-1972
(940) 482-1974
Mailing address
1721 HALIFAX ST, ROANOKE, TX 76262-1389
(940) 765-1036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45530
TX

Other

Enumeration date
10/20/2017
Last updated
10/20/2017
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