Individual
BRANDON PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
822 CRYSTAL WAY, ORANGE PARK, FL 32065-5554
(904) 400-3331
Mailing address
822 CRYSTAL WAY, ORANGE PARK, FL 32065-5554
(904) 400-3331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44957
FL
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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