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1023331519
MARK JAMES BROMMELHORST
O FALLON, MO
NPI
1023331519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO MO 040405)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
MARK JAMES BROMMELHORST RPH
20 OFALLON
O FALLON, MO 63366-3034
Phone number: 636-240-6610
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Mailing Address
MARK JAMES BROMMELHORST RPH
20 OFALLON SQ
O FALLON, MO 63366-3034
Phone number: 636-240-6610
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