DR. Carroll Bruister III

NPI #1982122289 in Ackerman, Mississippi

Provider Information

NPI Number: 1982122289
Entity Type: Individual
Name: DR. Carroll Bruister III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 7, 2017
Last Updated: Sep 7, 2017

Practice Location

Address: 222 MABUS
City: Ackerman
State: Mississippi
ZIP Code: 39735
Phone: (662) 285-6039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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