Individual
DR. BRANDON GLENN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
134 BEVILL AVENUE, GOSNELL, AR 72315
(870) 751-9242
(870) 751-9291
Mailing address
245 GREENE 687 RD, PARAGOULD, AR 72450-5174
(870) 476-0006
(870) 751-9291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10791
AR
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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