Charles Fredrick Bruce, PHARMD Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1073821070
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 17793 (LA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-09-24
- Last updated
- 2010-09-24
Practice location
6935 Pines Rd
Shreveport, LA 71129-2515
(318) 688-7912