Individual
MS. K BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PHARMACY
Contact information
Practice address
2045 HIGHWAY 59, MANDEVILLE, LA 70448-1909
(985) 626-9726
Mailing address
1000 N 2ND ST, MCGEHEE, AR 71654-1606
(630) 985-7333
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10854
LA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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