Individual
SUSAN ELAINE BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 FAYETTEVILLE RD, VAN BUREN, AR 72956-2230
(479) 474-8859
Mailing address
1601 FAYETTEVILLE RD, VAN BUREN, AR 72956-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13312
AR
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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