Luanne Marie Brundage

NPI #1013201383 in Brooklyn Center, Minnesota

Provider Information

NPI Number
1013201383
Entity Type
Individual
Name
Luanne Marie Brundage
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 4, 2011
Last Updated
Jun 4, 2011

Practice Location

Address
6100 SHINGLE CREEK PKWY
Address 2
T-0240
ZIP Code
55430-2110
Phone
(763) 566-0143

Specialties & Taxonomy Codes

Specialty
Pharmacist

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