Individual
BRANDY DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
112 N MAIN ST, ENTERPRISE, AL 36330-2537
(334) 347-2506
Mailing address
413 OAKWOOD DR, OPP, AL 36467-9765
(334) 701-3765
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
14795
AL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS40452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14795
AL BOARD OF PHARMACY
AL
01
—
PS40452
FL STATE BOARD OF PHARMACY
FL
Enumeration date
06/05/2017
Last updated
06/05/2017
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