| Organization Name: | BRUNO'S SUPERMARKETS, LLC. |
| NPI Number: | 1295840494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CURTIS HARTIN (SR. DIRECTOR OF PHARMACY) |
| Mailing Address: | 1005 Crossroads Plaza Dr Moody |
| State: | AL US |
| Postal Code: | 350042615 |
| Phone Number: | 2056405846 |
| Fax Number: | 2056405896 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 112314 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |