Individual
BRANDON DAVID HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(402) 660-8908
Mailing address
10810 SCHUUR ST, PORTAGE, MI 49024-7730
(402) 660-8908
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302044629
MI
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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