Individual
BRANDON BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4250 RIDGE HAVEN RD, TALLAHASSEE, FL 32305-1446
(850) 212-5151
Mailing address
4250 RIDGE HAVEN RD, TALLAHASSEE, FL 32305-1446
(850) 212-5151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41921
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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