Organization
BRUNO'S SUPERMARKETS, LLC.
Active
Parent organization
BRUNO'S SUPERMARKETS, LLC.
Other names
Bruno's Pharmacy #005
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRUNO'S SUPERMARKETS, LLC.
Authorized official
CURTIS HARTIN (SR. DIRECTOR OF PHARMACY)
(864) 213-2584
Entity
Organization
Contact information
Practice address
2747 BELL RD, MONTGOMERY, AL 36117-4366
(334) 270-0176
(334) 273-0412
Mailing address
PO BOX 99, MAULDIN, SC 29662-0099
(864) 213-2587
(864) 213-2503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
110567
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121690
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
11/29/2007
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