Individual
BRANDON M BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
730 E SAGINAW HWY, GRAND LEDGE, MI 48837-8411
(517) 622-6810
Mailing address
730 E SAGINAW HWY, GRAND LEDGE, MI 48837-8411
(517) 622-6810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302412671
MI
2255A2300X
Athletic Trainer
Primary
051.303261
IL
Other
Enumeration date
10/27/2020
Last updated
06/10/2024
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