Individual
BRUCE LEE MINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
500 W 12TH AVE, COLUMBUS, OH 43210-1214
(614) 292-2266
Mailing address
8084 KENNEDY RD, BLACKLICK, OH 43004-8726
(614) 626-3896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03325600
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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