Carroll Bruister Valid NPI
Individual provider · Pharmacist · Ackerman, MS
- NPI
- 1982122289
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- E6788 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2017-09-07
- Last updated
- 2017-09-07
Practice location
222 Mabus
Ackerman, MS 39735
(662) 285-6039