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Individual

DR. BRANDON MOTTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH., PHARMD, BCPS

Contact information

Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5771
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 721-5771

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH.03331343
OH
1835P1200X
Pharmacotherapy Pharmacist
3131364
OH

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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