Individual
BRUCE A BAKKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH., MBA
Contact information
Practice address
910 KINGS CANYON DR, GRAPEVINE, TX 76051-6643
(817) 454-5541
Mailing address
910 KINGS CANYON DR, GRAPEVINE, TX 76051-6643
(817) 454-5541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30790
TX
Other
Enumeration date
09/25/2005
Last updated
07/08/2007
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