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NPI Code Detail

MEDICARE: DR. BRUCE O YOUNG PHARMD

MEDICARE: DR. BRUCE O YOUNG 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
1183500000XPharmacistPHA.0021064CO

General Provider Information

NPI Number : 1932579992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE O YOUNG PHARMD
Provider Business Mailing Address
First Line : 280 MAIN ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1712
Country : US
Telephone Number : 719-390-9123
Fax Number :
Provider Business Practice Location Address
First Line : 280 MAIN ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-1712
Country : US
Telephone Number : 719-390-9123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2015
Last Update Date : 10/03/2015

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Directions to “ DR. BRUCE O YOUNG PHARMD” Practice Location

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