Individual
BRIAN BRUYNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 BLAIR PARK RD, SUITE 195, WILLISTON, VT 05495-7586
(802) 878-9116
Mailing address
3 RAYMOND DR, ESSEX JUNCTION, VT 05452-3867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3314
VT
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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