Individual
BRUCE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5815 GULL RD, KALAMAZOO, MI 49048-1094
(269) 226-9483
(269) 226-9462
Mailing address
5815 GULL RD, KALAMAZOO, MI 49048-1094
(269) 226-9483
(269) 226-9462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021849
MI
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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