Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARROLL BRUISTER III
Active Sole ProprietorDR. CARROLL BRUISTER III is a Pharmacist healthcare provider located in ACKERMAN, Mississippi. NPI 1982122289 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ACKERMAN, MS
Registration Details
- NPI Number
- 1982122289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2017 (8.9677044564663 yrs)
- Last Updated
- Sep 7, 2017
- License
-
E6788 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
222 MABUSACKERMAN, MS, 39735Browse MS providers · Browse ZIP 39735
- Phone
- 6622856039
- Primary Specialty
-
Pharmacist
183500000X
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.