Individual
BRUCE BRUNKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10770 FORT ST, OMAHA, NE 68134-1230
(402) 493-3257
(402) 493-0150
Mailing address
2401 S 84TH ST, OMAHA, NE 68124-2228
(619) 804-6247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10156
NE
183500000X
Pharmacist
46038
CA
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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