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Individual
BRANDON MARTIN
Active
Individual
BRANDON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26022977A
IN
183500000X
Pharmacist
33251
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26022977A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
33251
TN
Other
Enumeration date
06/28/2010
Last updated
07/21/2022
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