Individual
BRANDON ALAN WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W NORTHFIELD DR, BROWNSBURG, IN 46112-8122
(317) 858-1415
(317) 858-1796
Mailing address
304 W WASHINGTON ST, SHELBYVILLE, IN 46176-1153
(317) 642-8505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025549A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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