Individual
DESTINI R BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2201 COBB PKWY SE, SMYRNA, GA 30080-7629
(770) 952-2241
Mailing address
1410 JACKSON DR, CUMMING, GA 30040-4453
(404) 915-4095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030794
GA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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