Individual
BRANTLEY RYAN JAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
312 N NEW WARRINGTON RD STE 2A, PENSACOLA, FL 32506-5855
(850) 858-0213
Mailing address
312 N NEW WARRINGTON RD STE 2A, PENSACOLA, FL 32506-5855
(850) 858-0213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14785
AL
183500000X
Pharmacist
Primary
PS39964
FL
Other
Enumeration date
06/11/2007
Last updated
10/29/2008
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