Individual
BRETT DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
74 N SCOTT ST, CAMILLA, GA 31730-1247
(229) 336-5400
Mailing address
74 N SCOTT ST, CAMILLA, GA 31730-1247
(229) 336-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027904
GA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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