Individual
BRANT HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
306 W 5TH AVE, NOME, AK 99762
(907) 443-3314
(907) 443-2847
Mailing address
609 STEADMAN ST B, NOME, AK 99762
(907) 443-3314
(907) 443-2847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1399
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH90000
—
AK
Enumeration date
01/05/2012
Last updated
01/05/2012
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