Organization
BRUNER DRUGS, INC.
Active
Other names
Bruner Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BOTTS (PRESIDENT)
(417) 649-7021
Entity
Organization
Contact information
Practice address
102 S MAIN ST, CARL JUNCTION, MO 64834
(417) 649-7021
(417) 649-6269
Mailing address
PO BOX 9, CARL JUNCTION, MO 64834-0009
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005892
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049616
PK
—
05
—
600282917
—
MO
Enumeration date
05/28/2006
Last updated
07/24/2018
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