Individual
BRUCE MATTHEW BRAUNECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 NE GEORGIA AVE, SWEETWATER, TX 79556-8238
(325) 236-9588
(325) 236-9591
Mailing address
1180 COUNTY ROAD 446, SWEETWATER, TX 79556-3824
(325) 933-8865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26190
TX
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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