OrganizationBruno'S Supermarkets, Llc.(Bruno'S Pharmacy #125)PharmacySuppliersPractice Address126 Wildwood Pkwy, Birmingham, AL 35209-7153(205) 940-9037(864) 213-2587PECOS EnrollmentBased on the most recent information from CMS, provider Bruno'S Supermarkets, Llc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1396850582Provider TypeOrganizationFull NameBruno'S Supermarkets, Llc.Other NameBruno'S Pharmacy #125SubpartYesEnumeration Date8/20/2006Last Updated12/3/2007Contact InformationPractice LocationPractice Address126 Wildwood Pkwy, Birmingham, AL 35209-7153Phone(205) 940-9037Fax(205) 941-0242Mailing LocationMailing AddressPO Box 99, Mauldin, SC 29662-0099Phone(864) 213-2587Fax(864) 213-2503Authorized OfficialNameHartin, Curtis (Sr. Director Of Pharmacy)Phone(864) 213-2584Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicense110589AlabamaProvider IdentifiersIDDescriptionIssuerID0126082DescriptionOtherIssuerOTHER ID NUMBER-COMMERCIAL NUMBER