Individual
DR. DANIEL BENTON BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7171
Mailing address
1100 27TH ST S APT 503, BIRMINGHAM, AL 35205-1712
(205) 427-2293
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
16434
AL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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