Individual
BRYAN RUSSELL GUNTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
243 W LONG LEAF DR, LAKESIDE, AZ 85929-5803
(865) 806-4569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25979
NC
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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