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Individual

BRANDY LEANN GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 N MAIN ST, BRINKLEY, AR 72021-2507
(870) 734-1153
(870) 734-1179
Mailing address
117 S 2ND ST, PO BOX 497, AUGUSTA, AR 72006-2309
(870) 347-2534

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11925
AR
183700000X
Pharmacy Technician
PT89535
AR

Other

Enumeration date
10/24/2006
Last updated
04/12/2013
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