Michael T Brummert, PHARMD Valid NPI
Individual provider · Pharmacist · Bixby, OK
- NPI
- 1427260991
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 13124 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Practice location
15030 S Memorial Dr
Bixby, OK 74008-3706
(918) 366-9410