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NPI Code Detail

MEDICARE: DR. ANDREW LLOYD BRUCE PHARMD

MEDICARE:  DR. ANDREW LLOYD BRUCE  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302040859MI

General Provider Information

NPI Number : 1538784855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW LLOYD BRUCE PHARMD
Provider Business Mailing Address
First Line : 555 BRUSH ST APT 1403
Second Line :
City : DETROIT
State : MI
Zip : 48226-4332
Country : US
Telephone Number : 810-265-6331
Fax Number :
Provider Business Practice Location Address
First Line : 8463 FLETCHER RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8908
Country : US
Telephone Number : 810-265-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 06/12/2020

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Directions to “ DR. ANDREW LLOYD BRUCE PHARMD” Practice Location

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