Individual
SAMUEL BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4009
(438) 370-2004
Mailing address
1830 W DIXON BLVD, SHELBY, NC 28152-4351
(704) 482-0336
(704) 482-0749
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26411
NC
Other
Enumeration date
08/07/2016
Last updated
02/23/2022
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