Individual
BRUCE D BRUEGGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2851 HOMER ADAMS PKWY, ALTON, IL 62002-4856
(618) 462-8223
(618) 463-4634
Mailing address
2851 HOMER ADAMS PKWY, ALTON, IL 62002-4856
(618) 462-8223
(618) 463-4634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032776
IL
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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