MEDICARE: COREY JAYNE BRUNELLE 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
1	183500000X	Pharmacist	S017934	AZ

General Provider Information

NPI Number	:	1396050662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COREY JAYNE BRUNELLE PHARMD

Provider Business Mailing Address
First Line	:	6002 E MAIN ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-8928
Country	:	US
Telephone Number	:	480-985-0155
Fax Number	:	480-396-0497

Provider Business Practice Location Address
First Line	:	6002 E MAIN ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-8928
Country	:	US
Telephone Number	:	480-985-0155
Fax Number	:	480-396-0497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	07/21/2011

Similar Medicare Providers

1225033491 — MS. JUDITH CELIK NP
Practice Location Address:

6040 E MAIN ST , # 220
MESA, AZ
85205-8928

Practice Phone: 602-390-6655
Practice Fax: 480-924-8256

1346229895 — SHASHIKALA AMENENI M.D.
Practice Location Address:

6040 E MAIN ST # 516
MESA, AZ
85205-8928

Practice Phone: 480-648-7895
Practice Fax: 623-552-3320

1962584656 — WALGREEN CO
Practice Location Address:

6002 E MAIN ST
MESA, AZ
85205-8928

Practice Phone: 480-985-0155
Practice Fax:

1871794966 — THE HUMMER CORP
Practice Location Address:

6046 E MAIN , #A103
MESA, AZ
85205-8928

Practice Phone: 480-396-9588
Practice Fax: 480-396-0689

1942530985 — JOHN DAVID WEBER PHARM D
Practice Location Address:

6002 E MAIN ST
MESA, AZ
85205-8928

Practice Phone: 480-985-0155
Practice Fax: 480-396-0497

1497067086 — JILL ROBIN ALLEN RPH
Practice Location Address:

6002 E MAIN ST
MESA, AZ
85205-8928

Practice Phone: 480-985-0155
Practice Fax: 480-396-0497

Directions to “ COREY JAYNE BRUNELLE PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.