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NPI Code Detail

MEDICARE: TERESA BRUNS

MEDICARE: TERESA BRUNS
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03219431OH

General Provider Information

NPI Number : 1811617285
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA BRUNS
Provider Business Mailing Address
First Line : 661 W BENTLEY CIR
Second Line :
City : TROY
State : OH
Zip : 45373-7848
Country : US
Telephone Number : 937-371-3899
Fax Number :
Provider Business Practice Location Address
First Line : 731 W MARKET ST
Second Line :
City : TROY
State : OH
Zip : 45373-3003
Country : US
Telephone Number : 937-573-4530
Fax Number : 937-573-4531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 05/12/2026

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Directions to “ TERESA BRUNS ” Practice Location

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