Individual
BRUCE ALLEN FRUECHTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4001 GATEWAY DR, EAU CLAIRE, WI 54701-8134
(715) 839-1094
(715) 839-1290
Mailing address
1506 PINE PARK DR, EAU CLAIRE, WI 54701-7448
(715) 839-9945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9386-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9386-040
PHARMACIST LICENSE
WI
Enumeration date
11/03/2020
Last updated
11/03/2020
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