Individual
BRUCE A BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
14285 W GRAND AVE, SURPRISE, AZ 85374-4297
(623) 975-3944
Mailing address
14285 W GRAND AVE, SURPRISE, AZ 85374-4297
(623) 975-3944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6645
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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