Individual
DR. CHARLES BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2100 2ND ST SW, HSC(K), RM B732, WASHINGTON, DC 20593-0001
(202) 372-4109
(202) 372-4912
Mailing address
3714 THOMASSON CROSSING DR, TRIANGLE, VA 22172-2023
(703) 445-1103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH35660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH 35660
PHARMACY LICENSE
CA
Enumeration date
07/04/2006
Last updated
07/08/2007
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