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Individual

BRANDON P SIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBA, PHARM.D

Contact information

Practice address
50 SHERBURNE AVE, SUITE 112, SAINT PAUL, MN 55155-1402
(651) 201-3106
Mailing address
50 SHERBURNE AVE, SUITE 112, SAINT PAUL, MN 55155-1402
(651) 201-3106

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119875
MN
183500000X
Pharmacist
RPH-0011746
OR

Other

Enumeration date
02/26/2009
Last updated
03/18/2016
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