Individual
MRS. KRISTIN LYNAE BRANDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2015 10TH AVE NW, ARDMORE, OK 73401-2207
(757) 710-5208
Mailing address
2015 10TH AVE. NW, ARDMORE, OK 73401
(757) 710-5208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15533
OK
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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