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Individual

MR. LANNY GENE BRANSTETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
141 E MAIN ST, HORSE CAVE, KY 42749-1168
(270) 786-2466
(270) 786-1349
Mailing address
141 E MAIN ST, HORSE CAVE, KY 42749-1168
(270) 786-2466
(270) 786-1349

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006029
KY
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1805413
NABP
KY
05
54009147
KY
05
9004052
KY
Enumeration date
12/01/2006
Last updated
02/28/2014
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