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Individual

DR. PATRICK BRANNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2610 BOSTON ST, BALTIMORE, MD 21224-3667
(410) 675-3802
(410) 675-3769
Mailing address
2610 BOSTON ST, BALTIMORE, MD 21224-3667
(410) 675-3802
(410) 675-3769

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15239
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2120917
NABP/NCPDP
MD
Enumeration date
11/04/2010
Last updated
02/07/2012
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