Individual
BRENDAN DARBY PEARSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-7765
Mailing address
3109 E 1ST ST, VIDALIA, GA 30474-8830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26027656A
IN
183500000X
Pharmacist
Primary
RPH032392
GA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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