Whalio Doctors

NPI 1023331519

Mark James Brommelhorst, RPH

Practitioner Pharmacist O Fallon, MO

Practice location

Address
20 Ofallon, O Fallon, MO 63366-3034
Phone
(636) 240-6610
Fax
(636) 240-7732
Mailing address
20 Ofallon Sq, O Fallon, MO 63366-3034

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence MO 040405 (MO)

Registry record

NPI
1023331519
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Mar 2010
Record last updated
11 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.