Individual
MR. LEE R BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
304 E JACKSON STREET, BBC PHARMACY, WILLARD, MO 65781
(417) 742-3508
(417) 742-3512
Mailing address
304 E JACKSON STREET, BBC PHARMACY, WILLARD, MO 65781
(417) 742-3508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26057
MO
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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