Mark James Brommelhorst, RPH

NPI #1023331519 in O Fallon, Missouri

Provider Information

NPI Number: 1023331519
Entity Type: Individual
Name: Mark James Brommelhorst, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 11, 2010
Last Updated: Mar 11, 2010

Practice Location

Address: 20 OFALLON
City: O Fallon
State: Missouri
ZIP Code: 63366-3034
Phone: (636) 240-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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