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1548578982
BRIAN A BLOOM
PEORIA, AZ
NPI
1548578982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S015055)
Enumeration Date
2010-09-20
Last Update Date
2014-02-18
Business Address
Mr. BRIAN A BLOOM R.Ph.
8055 W BELL RD
PEORIA, AZ 85382-3806
Phone number: 623-979-4484
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Mailing Address
Mr. BRIAN A BLOOM R.Ph.
8055 W BELL RD
PEORIA, AZ 85382-3806
Phone number: 623-979-4484
Copy
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