Individual
BARRY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44075 JEFFERSON ST, LA QUINTA, CA 92253-4871
(760) 772-2969
Mailing address
44075 JEFFERSON ST, LA QUINTA, CA 92253-4871
(760) 772-2969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78424
CA
183500000X
Pharmacist
S021775
AZ
Other
Enumeration date
03/11/2016
Last updated
12/19/2019
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