Organization Name: | BRUNER'S MONETT PHARMACY INC |
NPI Number: | 1922089549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M BRUNER (OWNER) |
Mailing Address: | 321 E Broadway St Monett |
State: | MO US |
Postal Code: | 657082329 |
Phone Number: | 4172353139 |
Fax Number: | 4172358058 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 03/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |