Individual
BRANDON ROBERT COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10730 PROVIDENCE RD, CHARLOTTE, NC 28277-2683
(704) 845-2742
Mailing address
921 PARK CENTER DRIVE, APT 206, MATTHEWS, NC 28105
(910) 297-6986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29042
NC
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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