Individual
DR. BRANDON PANICHELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7117 MERRILL RD, JACKSONVILLE, FL 32277-2620
(904) 744-8172
Mailing address
6306 MERCER CIR E, JACKSONVILLE, FL 32217-2415
(904) 673-0986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS62922
FL
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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