Individual
ANDREW DENNIS BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 CAMP JACKSON RD, CAHOKIA, IL 62206-2231
(618) 332-2904
Mailing address
704 WILLIAMS LANDING, WATERLOO, IL 62298
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293503
IL
183500000X
Pharmacist
2010018106
MO
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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