BRUCE BRUNKHORST

OMAHA, NE
NPI1972138246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NE  10156)
Additional Taxonomies183500000X Pharmacist
(Licence: CA  46038)
Enumeration Date2020-03-07
Last Update Date2020-03-07
Business Address
BRUCE BRUNKHORST RPH
10770 FORT ST
OMAHA, NE 68134-1230
Phone number: 402-493-3257
Mailing Address
BRUCE BRUNKHORST RPH
2401 S 84TH ST
OMAHA, NE 68124-2228
Phone number: 619-804-6247