Individual
ADAM FORREST BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3901 DAYTON BLVD, RED BANK, TN 37415-2715
(423) 877-9516
Mailing address
3901 DAYTON BLVD, RED BANK, TN 37415-2715
(423) 877-9516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000041206
TN
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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