Provider Demographics
NPI:1710905658
Name:DEBRUYNE, BARTEL LOCKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BARTEL
Middle Name:LOCKER
Last Name:DEBRUYNE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4711 HOPE VALLEY RD
Mailing Address - Street 2:WOODCROFT SHOPPING CENTER
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5651
Mailing Address - Country:US
Mailing Address - Phone:919-493-5722
Mailing Address - Fax:919-493-0470
Practice Address - Street 1:4711 HOPE VALLEY RD
Practice Address - Street 2:WOODCROFT SHOPPING CENTER
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5651
Practice Address - Country:US
Practice Address - Phone:919-493-5722
Practice Address - Fax:919-493-0470
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC16010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist