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Individual

DR. BRANDON DERRICK MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
740 MAIN ST, TRACY CITY, TN 37387-4020
(931) 592-9190
(931) 592-9203
Mailing address
412 OAK AVE, SOUTH PITTSBURG, TN 37380-1236

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33171
TN

Other

Enumeration date
02/12/2011
Last updated
05/15/2013
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