DONALD BRUCE GRAHAM

SCOTTSBLUFF, NE
NPI1932481710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NE  8461)
Additional Taxonomies183500000X Pharmacist
(Licence: CO  12203)
Enumeration Date2011-09-16
Last Update Date2011-09-16
Business Address
-- DONALD BRUCE GRAHAM R.Ph.
205 W 27TH ST
SCOTTSBLUFF, NE 69361-4307
Phone number: 308-635-3296
Mailing Address
-- DONALD BRUCE GRAHAM R.Ph.
205 W 27TH ST
SCOTTSBLUFF, NE 69361-4307
Phone number: 308-635-3296