Pelphrey, Bruce Laroy

Pelphrey, Bruce Laroy is an individual health care provider with primary practice located at 7208 Taylorsville Rd , Huber Heights OH 45424-2303. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pelphrey, Bruce Laroy can be contacted via phone (937) 813-3013.

Contact Information

Primary practice address
7208 Taylorsville Rd Huber Heights OH 45424-2303
Phone: (937) 813-3013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-2-18203 Ohio

Profile Details

NPI number 1114903416
LBN Legal business name Pelphrey, Bruce Laroy
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 8th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1114903416 NPPES
Ohio MEDICAID 2297116

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