Individual
DONALD BRUCE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
205 W 27TH ST, SCOTTSBLUFF, NE 69361-4307
(308) 635-3296
(308) 635-3891
Mailing address
205 W 27TH ST, SCOTTSBLUFF, NE 69361-4307
(308) 635-3296
(308) 635-3891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12203
CO
183500000X
Pharmacist
Primary
8461
NE
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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