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Individual

BRANDI PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
134 MAE BYRD RD APT D7, LILLINGTON, NC 27546-6605
(919) 999-7730
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28812
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28812
NC PHARMACY LICENSURE
NC
Enumeration date
04/21/2020
Last updated
04/21/2020
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