Individual
MS. JAN ANDREA BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
110 RICHMOND ROAD, IRVINE, KY 40336
(606) 424-8523
(606) 723-0642
Mailing address
102 FRIEND ST, IRVINE, KY 40336
(606) 424-8523
(606) 723-0642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009231
KY
183500000X
Pharmacist
009321
KY
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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