Provider Demographics
NPI:1598108516
Name:DELNAY, BRUCE G JR (RPH)
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:G
Last Name:DELNAY
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-2868
Mailing Address - Country:US
Mailing Address - Phone:970-569-4150
Mailing Address - Fax:970-569-4149
Practice Address - Street 1:105 EDWARDS VILLAGE BLVD
Practice Address - Street 2:UNIT G-107
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-2868
Practice Address - Country:US
Practice Address - Phone:970-569-4150
Practice Address - Fax:970-569-4149
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16765183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist