Individual
KAITLIN BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
114 B PARKER AVE, BROOKLET, GA 30415
(912) 842-9886
(912) 842-9890
Mailing address
PO BOX 215, BROOKLET, GA 30415-0215
(912) 842-9886
(912) 842-9890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029231
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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