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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADAM DEBRUIN SR.

Active Sole Proprietor

ADAM DEBRUIN SR. is a Pharmacist healthcare provider located in APPLETON, Wisconsin. NPI 1922368455 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · APPLETON, WI

Registration Details

NPI Number
1922368455
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2012 (14.237283080005 yrs)
Last Updated
May 17, 2012
Licenses
S019033 (AZ)
PS24518 (FL)
051.037489 (IL)
0202210659 (VA)
12294-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
842 N WESTHILL BLVD
APPLETON, WI, 549145788
Browse WI providers · Browse ZIP 54914
Phone
8776674689
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in APPLETON, WI

Name Credential NPI
MRS. JANIS LYNN RUFFOLO RPH 1902820269
MR. RICHARD L BERRY JR. RPH 1396756714
MR. STEVEN J MARCUS RPH 1174631634
DR. LESLIE ANN MACHOS PHARM D 1396848735
MR. JAMES CHESTER WURL R.PH. 1235261520
MS. ANN KATHARINE BLOODGOOD RPH 1679786552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.