Individual
MRS. BRANDI JANEE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
901 S 14TH ST, LEESBURG, FL 34748-6615
(352) 787-3506
Mailing address
901 S 14TH ST, LEESBURG, FL 34748-6615
(352) 787-3506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS44173
LISCENSE NUMBER
FL
Enumeration date
01/09/2012
Last updated
01/09/2012
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