Individual
MR. PAUL EDWARD BRUNGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1401 SW WANAMAKER RD, TOPEKA, KS 66604-3869
(785) 228-2672
Mailing address
4446 NW HODGES RD, SILVER LAKE, KS 66539-9203
(785) 582-4449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
KS1-12620
KS
Other
Enumeration date
04/16/2011
Last updated
04/16/2011
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