Individual
TEAL BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1795 E STATE ROAD 163, CLINTON, IN 47842-7327
(765) 832-3539
(765) 832-3542
Mailing address
1795 E STATE ROAD 163, CLINTON, IN 47842-7327
(765) 832-3539
(765) 832-3542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030383A
IN
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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