JERRY HAROLD BRUE

GLENDALE, AZ
NPI1144581257
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  s004723)
Enumeration Date2012-06-05
Last Update Date2012-06-05
Business Address
Mr. JERRY HAROLD BRUE
7772 N 52ND DR
GLENDALE, AZ 85301
Phone number: 623-939-0798
Mailing Address
Mr. JERRY HAROLD BRUE
7772 N 52ND DR
GLENDALE, AZ 85301-8618
Phone number: 623-939-0798
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