Organization
BRULIN INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TROUT RPH (OWNER PHARMACIST)
(215) 723-9350
Entity
Organization
Contact information
Practice address
722 ROUTE 113, SOUDERTON SQUARE, SOUDERTON, PA 18964-1004
(215) 723-9350
(215) 723-8466
Mailing address
SOUDERTON SQUARE 722 ROUTE 113, SOUDERTON, PA 18964
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414654L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013021960001
—
PA
01
—
3965285
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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