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Individual
RANDAL C BRENNER
Active
Individual
RANDAL C BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21974
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH014643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS21974
PHARMACIST LISCENSE
FL
01
—
RPH014643
PHARMACIST
GA
Enumeration date
10/31/2007
Last updated
12/28/2022
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