Dr Carroll Bruister Iii, is a
Pharmacist based in Ackerman, Mississippi. Dr Carroll Bruister Iii is licensed to practice in Mississippi (license number E6788) and his current practice location is
222 Mabus, Ackerman, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 285-6039.
NPI number for Dr Carroll Bruister Iii is 1982122289 and his current mailing address is 11850 Ms Hwy 15, Ackerman, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982122289.
Healthcare Provider's Profile
| Full Name | Dr Carroll Bruister Iii |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 222 Mabus, Ackerman, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982122289
- Provider Enumeration Date: 09/07/2017
- Last Update Date: 09/07/2017
Medical Identifiers
Medical identifiers for Dr Carroll Bruister Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982122289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E6788 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carroll Bruister Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carroll Bruister Iii,
11850 Ms Hwy 15,
Ackerman, MS 39735
Ph: () - | Dr Carroll Bruister Iii,
222 Mabus,
Ackerman, MS 39735
Ph: (662) 285-6039 |
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