Individual
MR. BRANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
5401 S HYDE PARK BLVD, APARTMENT 1004, CHICAGO, IL 60615-5829
(312) 545-3306
Mailing address
5401 S HYDE PARK BLVD, APARTMENT 1004, CHICAGO, IL 60615-5829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294523
IL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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