Individual
DR. BRYAN RICHARD BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
811 FISCHER BLVD, TOMS RIVER, NJ 08753-4605
(732) 929-3440
(732) 929-0920
Mailing address
1067 KILKORMIC ST, TOMS RIVER, NJ 08753-3148
(732) 703-8448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04201500
NJ
183500000X
Pharmacist
PI121714
PA
Other
Enumeration date
03/01/2021
Last updated
09/09/2021
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