Individual
MR. BRIAN A BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
8055 W BELL RD, PEORIA, AZ 85382-3806
(623) 979-4484
(623) 687-2372
Mailing address
8055 W BELL RD, PEORIA, AZ 85382-3806
(623) 979-4484
(623) 687-2372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015055
AZ
Other
Enumeration date
09/20/2010
Last updated
02/18/2014
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