Individual
BRENTON WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8001 9TH ST N, SAINT PETERSBURG, FL 33702-4109
(727) 577-6888
Mailing address
PO BOX 1144, SAINT PETERSBURG, FL 33731-1144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46544
FL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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