Mark James Brommelhorst, RPH Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1023331519
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- MO 040405 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-03-11
- Last updated
- 2010-03-11
Practice location
20 Ofallon
O Fallon, MO 63366-3034
(636) 240-6610