Individual
DR. BRANDON ANTHONY KOOLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
10240 N 31ST AVE STE 210, PHOENIX, AZ 85051-9565
(602) 384-9992
(602) 944-4897
Mailing address
8479 W ALYSSA LN, PEORIA, AZ 85383-4811
(480) 734-7085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024295
AZ
Other
Enumeration date
05/09/2020
Last updated
10/31/2023
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