Individual
BRANDY TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1875 N KRAEMER BLVD, PLACENTIA, CA 92870-2616
(714) 572-5656
(714) 572-5662
Mailing address
PO BOX 1870A, GARDEN GROVE, CA 92842-5126
(714) 251-9100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56351
CA
Other
Enumeration date
04/22/2019
Last updated
04/02/2020
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