Individual
MR. RANDY CHARLES BRENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
14546 DELLWOOD DR, BAXTER, MN 56425-9744
(218) 828-9219
(218) 828-9219
Mailing address
14546 DELLWOOD DR, BAXTER, MN 56425-9744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118623
MN
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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