Most Relevant Information
Provider Data
| NPI Number: | 1003403080 |
| Provider Name: | BRUCE COFANE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PH100003050 |
Most Important Dates
| Enumeration Date: | 12/24/2020 |
| Last Updated: | 12/24/2020 |
Provider Practice Location
845 BLADENSBURG RD NE
WASHINGTON
DC
200023927
Practice Location Phone/Fax
| Phone: | 2023972600 |
| Fax: |
Provider Mailing Location
845 BLADENSBURG RD NE
WASHINGTON
DC
200023927
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |