Organization
BRUNNER ENTERPRISES INC
Active
Other names
B & B Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BRUNNER PHARMD (OWNER)
(970) 842-2416
Entity
Organization
Contact information
Practice address
1302 EDISON ST, BRUSH, CO 80723-2310
(970) 842-2416
(970) 842-4904
Mailing address
PO BOX 305, BRUSH, CO 80723-0305
(970) 842-2416
(970) 842-4904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.0130000001
CO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000872
PK
—
05
—
99427222
—
CO
Enumeration date
09/27/2006
Last updated
10/27/2021
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