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Individual

DR. BRANDON MITCHELL VAN ZILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 774-8296
Mailing address
946 GOSS AVE APT 7110, LOUISVILLE, KY 40217-2285
(502) 655-0509

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023112
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/05/2021
Last updated
09/16/2022
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