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Individual

BRENT WAYNE BANDHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
12001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470
(561) 784-7407
Mailing address
12001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-4994

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56718
FL

Other

Enumeration date
08/03/2017
Last updated
08/03/2017
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