Individual
DR. BRANDON DETERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1065 STATELINE RD W, SOUTHAVEN, MS 38671-1425
(662) 393-8527
Mailing address
1065 STATELINE RD W, SOUTHAVEN, MS 38671-1425
(662) 393-8527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010224
MS
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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