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NPI Code Detail

MEDICARE: DR. ALFRED J BROMM JR. PHARMD

MEDICARE: DR. ALFRED J BROMM JR. 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
1183500000XPharmacist0202208677VA

General Provider Information

NPI Number : 1225288319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED J BROMM JR. PHARMD
Provider Business Mailing Address
First Line : 8153 BRADBURY RD
Second Line :
City : RICHMOND
State : VA
Zip : 23231-7626
Country : US
Telephone Number : 804-795-7315
Fax Number :
Provider Business Practice Location Address
First Line : 300 PARK HILL DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-3387
Country : US
Telephone Number : 540-368-7311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 10/12/2009

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