Individual
BRANDON LUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPHT
Contact information
Practice address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
Mailing address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT54865
FL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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