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Individual

BRANDON EUGENE BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
6202 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3073
(260) 432-5120
Mailing address
2445 FAIRFIELD AVE APT 113, FORT WAYNE, IN 46807-1238
(989) 475-2245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45023735A
IN

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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