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Individual

BAILEE BRANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2690 E CITIZENS DR, FAYETTEVILLE, AR 72703-4339
(479) 571-6673
Mailing address
2690 E CITIZENS DR, FAYETTEVILLE, AR 72703-4339

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD14335
AR

Other

Enumeration date
12/07/2021
Last updated
12/07/2021
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