MRS. Kellie June Bruner, RPH
NPI #1417066184 in Grangeville, Idaho
Provider Information
- NPI Number
- 1417066184
- Entity Type
- Individual
- Name
- MRS. Kellie June Bruner, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 415 W MAIN ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530
- Phone
- (208) 983-0725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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