Brunson, Michael

Brunson, Michael is an sole proprietor health care provider with primary practice located at 450 E Main St , Rexburg ID 83440-2048. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brunson, Michael can be contacted via phone (208) 359-6900.

Contact Information

Primary practice address
450 E Main St Rexburg ID 83440-2048
Phone: (208) 359-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4861268 Idaho

Profile Details

NPI number 1356189146
LBN Legal business name Brunson, Michael
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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