Individual
KYLE ROBERT BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D,
Contact information
Practice address
15025 MANCHESTER RD, BALLWIN, MO 63011-4626
(636) 227-9436
Mailing address
15025 MANCHESTER RD, BALLWIN, MO 63011-4626
(636) 227-9436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.298290
IL
183500000X
Pharmacist
Primary
2014038939
MO
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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