Individual
BRUCE WAYNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
264 SHERWOOD DR, DRY PRONG, LA 71423-8752
(318) 641-0776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10622
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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