Provider Demographics
NPI:1962028712
Name:KRUG, BRUCE HENRY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:HENRY
Last Name:KRUG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 WOOD GLENN CT
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7005
Mailing Address - Country:US
Mailing Address - Phone:410-236-2727
Mailing Address - Fax:
Practice Address - Street 1:628 WOOD GLENN CT
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-7005
Practice Address - Country:US
Practice Address - Phone:410-236-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD081851835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric