Individual
DR. BRANTLEY MICHAEL UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, CSP, BCACP
Contact information
Practice address
483 W BOCKMAN WAY, SPARTA, TN 38583-1832
(931) 836-3230
(931) 836-3241
Mailing address
483 W BOCKMAN WAY, SPARTA, TN 38583-1832
(931) 836-3230
(931) 836-3241
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
117751
AK
1835P2201X
Ambulatory Care Pharmacist
Primary
44702
TN
1835P2201X
Ambulatory Care Pharmacist
PD13265
AR
1835P2201X
Ambulatory Care Pharmacist
PH60661034
WA
1835P2201X
Ambulatory Care Pharmacist
R-16138
OK
Other
Enumeration date
05/29/2009
Last updated
05/23/2025
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