Individual
DR. BRANDON RUSSELL MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
601 ROUTE 32 STE F, UNCASVILLE, CT 06382-2104
(860) 848-7979
Mailing address
601 ROUTE 32 STE F, UNCASVILLE, CT 06382-2104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011200
CT
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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