Individual
MR. BRETT S FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4751 BAYOU BLVD, PENSACOLA, FL 32503-2607
(850) 479-9267
Mailing address
4441 LAMIRAGE, PENSACOLA, FL 32504
(850) 484-8029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS13234
FL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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