Provider Demographics
NPI:1538233911
Name:BROMMER, JEFFREY ERNEST (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ERNEST
Last Name:BROMMER
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 1:708 E. WALNUT CIR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701
Mailing Address - Country:US
Mailing Address - Phone:402-379-8051
Mailing Address - Fax:402-844-3157
Practice Address - Street 1:120 E NORFOLK AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5300
Practice Address - Country:US
Practice Address - Phone:402-371-0610
Practice Address - Fax:402-844-3157
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist