Individual
MR. BRANDON V THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 MARINER BLVD, 160 MARINER BLVD, SPRING HILL, FL 34609-5689
(352) 688-2305
(352) 666-2122
Mailing address
160 MARINER BLVD, 160 MARINER BLVD, SPRING HILL, FL 34609-5689
(352) 688-2305
(352) 666-2122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH23820
MA
183500000X
Pharmacist
Primary
PS39614
FL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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