Individual
BRANDI LEIGH COURTRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
700 W MAIN ST, FAIRFIELD, IL 62837-2302
(618) 842-3784
Mailing address
700 W MAIN ST, FAIRFIELD, IL 62837-2302
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
04950863
IL
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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