Christina Loren Bruce, PHARMD
Individual provider Active NPI Pharmacist · Commerce, GA
NPI 1669871109 · NPPES record last updated Aug 21, 2014
Key facts
- NPI
- 1669871109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH026621 (GA)
- Practice address
- 2100 N Broad St
Commerce, GA 30529-1700 - Phone
- (706) 336-5931
- Fax
- (706) 336-8092
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH026621 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026621 | GA | Yes |
Addresses
Primary practice location
2100 N Broad St
Commerce, GA 30529-1700
Mailing address
2100 N Broad St
Commerce, GA 30529-1700
Phone (706) 336-5931
Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.