Individual
DR. BRANDON RAY LIBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1109 PALM COAST PKWY SW, PALM COAST, FL 32137-4704
(386) 445-7041
(386) 446-8088
Mailing address
1109 PALM COAST PKWY SW, PALM COAST, FL 32137-4704
(386) 445-7041
(386) 446-8088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS48974
FL
Other
Enumeration date
06/26/2012
Last updated
01/26/2013
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