Individual
BRANDON WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, R.PH
Contact information
Practice address
512 E SEYMOUR ST, KENTLAND, IN 47951-1240
(219) 474-6787
Mailing address
512 E SEYMOUR ST, KENTLAND, IN 47951-1240
(219) 474-6787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027216A
IN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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