Individual
BRANDON STANDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9482
Mailing address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031374
GA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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