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Individual

BRUCE F ORSMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2879
(214) 456-2698
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-2879
(214) 456-2698

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
53455
CA
183500000X
Pharmacist
Primary
55314
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55314
TX STATE BOARD OF PHARMACY
TX
01
RPH 53455
CA BOARD OF PHARMACY
CA
Enumeration date
12/05/2014
Last updated
11/20/2015
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