Individual
BRANDY KAY BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3614 S 31ST ST, TEMPLE, TX 76502-2813
(254) 899-8484
Mailing address
2645 MIRASOL LOOP, ROUND ROCK, TX 78681
(512) 712-4546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46277
TX
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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