Individual
CHRISTOPHER BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 GOODMAN RD E, SOUTHAVEN, MS 38672-8707
(662) 536-3743
(662) 536-3746
Mailing address
1865 BAKERS TRL, NESBIT, MS 38651-6046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-14419
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-14419
MS
Other
Enumeration date
12/09/2019
Last updated
02/12/2020
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