Individual
BRENNIN KYLE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 N MAIN AVE, BAUDETTE, MN 56623-2466
(218) 634-1236
Mailing address
111 N MAIN AVE, BAUDETTE, MN 56623-2466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124709
MN
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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